Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Marshall Medical Center

Marshall Medical Center was paid $1.17M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoMARSHALL MEDICAL CENTER
PLACERVILLE, CA 95667
33aNPI1215181664assigned 11/12/2008
28Total paid$1.17M
24GClaims43,640
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#46 of 363
Median peer was paid$55K
This provider vs. median21×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20185,680$128K
20196,132$139K
20205,230$124K
20216,228$227K
20225,631$166K
20237,415$168K
2024incomplete7,324$220K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 49% 13,326 12,880 $580K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 26% 24,052 22,598 $300K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 16% 3,512 3,506 $184K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.5% 1,076 992 $29K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2.4% 234 112 $28K
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 1.4% 190 190 $16K
99205 Prolong outpt/office vis <1% 99 99 $9K
97597 <1% 245 160 $9K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 116 115 $7K
93793 <1% 275 152 $3K
94726 <1% 150 150 $1K
94729 <1% 181 181 $1K
5 more codes
93018 <1% 69 $1K
94060 <1% 55 $756.50
99215 Doctor's office visit, returning patient (complex) <1% 12 $504.46
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 24 $477.31
93016 <1% 24 $433.60

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 officialNELSON, SIRI (CEO)
Same official

Other billing entities under NELSON, SIRI

Full network →
ProviderLocationPaid
Marshall Medical CenterPlacerville, CA$33.81M
Marshall Medical CenterPlacerville, CA$1.55M
Marshall Medical CenterCameron Park, CA$596K
Marshall Medical CenterDiamond Springs, CA$260K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.