Physician
Modern Concepts Medical Group
Modern Concepts Medical Group was paid $1K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 64% of everything it billed.
33Billing provider infoMODERN CONCEPTS MEDICAL GROUP
PASADENA, CA 91105
PASADENA, CA 91105
33aNPI1194930420assigned 05/11/2007
33bProvider typeFamily Medicine Physician
28Total paid$1K
24GClaims469
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,761 of 2,511
Median peer was paid$13K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 204 | $466.07 | |
| 2019 | 175 | $371.86 | |
| 2020 | 13 | $113.12 | |
| 2023 | 13 | $30.94 | |
| 2024incomplete | 64 | $514.38 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 64% | 377 | 369 | $950.75 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 34% | 12 | 12 | $514.38 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 13 | 13 | $30.94 |
| 3008F | <1% | 67 | 65 | $0.30 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHERRERA, MARGARET (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Modern Concepts Medical Group | Los Angeles, CA | $81K |
| Modern Concepts Medical Group, INC | Montebello, CA | $15K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.