Physician
Pacific Rheumatology Medical Center, INC.
Pacific Rheumatology Medical Center, INC. was paid $669K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 57% of everything it billed.
33Billing provider infoPACIFIC RHEUMATOLOGY MEDICAL CENTER, INC.
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1205120375assigned 06/06/2011
33bProvider typeRheumatology Physician
28Total paid$669K
24GClaims10,171
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Rheumatology Physician providers in California
Rank by total paid#27 of 147
Median peer was paid$43K
This provider vs. median15×
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 | 532 | $21K | |
| 2019 | 481 | $19K | |
| 2020 | 589 | $24K | |
| 2021 | 959 | $41K | |
| 2022 | 1,312 | $65K | |
| 2023 | 3,094 | $247K | |
| 2024incomplete | 3,204 | $251K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 57% | 3,625 | 3,376 | $384K |
| 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 | 24% | 3,434 | 3,224 | $163K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 6.0% | 670 | 611 | $40K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 366 | 365 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 548 | 392 | $24K |
| 99205 | Prolong outpt/office vis | 2.3% | 206 | 206 | $15K |
| 20611 | 1.3% | 128 | 84 | $9K | |
| 76882 | 1.1% | 191 | 155 | $7K | |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 503 | 470 | $378.60 |
| A4215 | Needle, sterile, any size, each | <1% | 500 | 465 | $23.50 |
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 officialKHALEGHI, BEHNAM (MD/OWNER)