Managed care
Orange County Physicians Ipa Medical Group, INC.
Orange County Physicians Ipa Medical Group, INC. was paid $316K by Medicaid between Jan 2018 and Oct 2024, across 203 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
33Billing provider infoORANGE COUNTY PHYSICIANS IPA MEDICAL GROUP, INC.
CYPRESS, CA 90630
CYPRESS, CA 90630
33aNPI1225324932assigned 06/21/2011
33bProvider typeHealth Maintenance Organization
28Total paid$316K
24GClaims134,439
24DCodes billed203
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#49 of 151
Median peer was paid$59K
This provider vs. median5.3×
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 | 71,474 | $173K | |
| 2019 | 864 | $2K | |
| 2020 | 23,740 | $60K | |
| 2021 | 37,473 | $59K | |
| 2022 | 87 | $21K | |
| 2023 | 449 | $0.00 | |
| 2024incomplete | 352 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 13% | 2,045 | 1,942 | $42K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 18,587 | 16,534 | $31K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 6.6% | 87 | 56 | $21K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 6.2% | 685 | 192 | $20K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 5.5% | 3,250 | 3,194 | $17K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 5.0% | 3,228 | 3,171 | $16K |
| 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 | 5.0% | 194 | 194 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 336 | 322 | $11K |
| 92134 | 3.3% | 67 | 50 | $10K | |
| 99199 | Unlisted special service, procedure or report | 3.2% | 1,131 | 995 | $10K |
| J3490 | Unclassified drugs | 2.5% | 373 | 296 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 834 | 808 | $7K |
191 more codes
| 59425 | 1.8% | 2,670 | $6K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 1,373 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | 1.6% | 263 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.6% | 99 | $5K |
| 81025 | 1.4% | 1,187 | $4K | |
| 80053 | Comprehensive metabolic panel | 1.4% | 5,731 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 168 | $4K |
| J1815 | Injection, insulin, per 5 units | 1.2% | 17 | $4K |
| 0515 | 1.0% | 331 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,073 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 300 | $3K |
| 93000 | <1% | 154 | $3K | |
| 90670 | <1% | 519 | $3K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 24 | $2K |
| S5571 | Insulin delivery device, disposable pen (including insulin); 3 ml size | <1% | 28 | $2K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | <1% | 320 | $2K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 664 | $2K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 6,800 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 73 | $2K |
| 90686 | <1% | 708 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,258 | $2K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 38 | $1K |
| 85018 | <1% | 1,030 | $1K | |
| 92081 | <1% | 731 | $1K | |
| 92552 | <1% | 1,388 | $1K | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | <1% | 92 | $1K |
| 92015 | Determination of refractive state | <1% | 146 | $1K |
| 0949 | <1% | 264 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 3,755 | $1K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 519 | $1K |
| 0450 | Emergency room services | <1% | 262 | $965.40 |
| 94760 | <1% | 491 | $952.45 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 78 | $937.78 |
| 99000 | <1% | 5,666 | $916.26 | |
| 92250 | <1% | 27 | $910.22 | |
| 90734 | <1% | 228 | $901.98 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $895.02 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 38 | $883.89 |
| V2020 | Frames, purchases | <1% | 41 | $873.71 |
| 3074F | <1% | 155 | $847.91 | |
| 81002 | <1% | 2,138 | $833.46 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 3,814 | $819.18 |
| 81001 | <1% | 1,629 | $787.27 | |
| 3008F | <1% | 295 | $748.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 764 | $706.46 |
| 90707 | <1% | 218 | $692.03 | |
| 85027 | <1% | 684 | $668.92 | |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 451 | $628.78 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 410 | $620.54 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 118 | $607.37 |
| 80061 | Lipid panel | <1% | 4,369 | $594.56 |
| 99401 | <1% | 385 | $594.49 | |
| 90700 | <1% | 367 | $536.93 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,834 | $532.06 |
| 86592 | <1% | 2,318 | $493.10 | |
| 97803 | <1% | 234 | $471.21 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 46 | $447.04 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,728 | $418.08 |
| 81003 | <1% | 2,162 | $333.48 | |
| 92551 | <1% | 564 | $303.14 | |
| 96151 | <1% | 56 | $287.63 | |
| 99381 | <1% | 90 | $269.28 | |
| 90648 | <1% | 141 | $261.00 | |
| 90651 | <1% | 186 | $258.30 | |
| 87340 | <1% | 700 | $237.22 | |
| 90715 | <1% | 233 | $232.14 | |
| 83690 | <1% | 216 | $229.85 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 1,139 | $214.14 |
| 90647 | <1% | 261 | $207.84 | |
| 97802 | <1% | 161 | $206.80 | |
| 3078F | <1% | 85 | $204.00 | |
| 88142 | <1% | 299 | $203.64 | |
| 84702 | <1% | 384 | $195.74 | |
| 90649 | <1% | 132 | $174.91 | |
| 85652 | <1% | 400 | $168.05 | |
| 85730 | <1% | 417 | $160.15 | |
| 86900 | <1% | 480 | $159.38 | |
| 90688 | <1% | 61 | $154.56 | |
| 87806 | <1% | 27 | $153.30 | |
| 82728 | <1% | 357 | $148.55 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $137.05 |
| 83540 | <1% | 379 | $134.72 | |
| 82570 | <1% | 773 | $132.49 | |
| 83550 | <1% | 363 | $130.23 | |
| 99173 | <1% | 1,682 | $129.81 | |
| 96150 | <1% | 12 | $124.95 | |
| 90716 | <1% | 231 | $124.91 | |
| 71045 | Radiologic examination, chest; single view | <1% | 16 | $119.25 |
| 86706 | <1% | 254 | $114.05 | |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 57 | $99.00 |
| 84439 | <1% | 2,034 | $98.26 | |
| 87186 | <1% | 359 | $96.17 | |
| 90657 | <1% | 93 | $95.40 | |
| 87088 | <1% | 254 | $95.28 | |
| 85610 | <1% | 570 | $95.04 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 111 | $92.80 |
| 90713 | <1% | 94 | $90.00 | |
| 86901 | <1% | 448 | $89.52 | |
| 85007 | <1% | 121 | $85.48 | |
| 86803 | <1% | 405 | $83.88 | |
| 86580 | <1% | 51 | $79.93 | |
| 84153 | <1% | 79 | $78.55 | |
| 80076 | <1% | 432 | $77.36 | |
| 82043 | <1% | 795 | $72.43 | |
| 90723 | <1% | 135 | $72.00 | |
| 3079F | <1% | 47 | $68.00 | |
| 87210 | <1% | 19 | $67.57 | |
| 86850 | <1% | 343 | $64.34 | |
| 90680 | <1% | 83 | $63.00 | |
| 84436 | <1% | 902 | $60.70 | |
| 87070 | <1% | 210 | $58.47 | |
| 82977 | <1% | 295 | $56.00 | |
| 86480 | <1% | 14 | $54.49 | |
| 84484 | <1% | 80 | $48.80 | |
| 83615 | <1% | 296 | $40.87 | |
| 86038 | <1% | 214 | $39.23 | |
| 84550 | <1% | 502 | $33.79 | |
| 81000 | <1% | 388 | $33.44 | |
| 83655 | <1% | 512 | $30.72 | |
| 87081 | <1% | 312 | $28.26 | |
| 82465 | <1% | 186 | $28.00 | |
| 82607 | <1% | 93 | $26.53 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $25.94 |
| 96158 | <1% | 24 | $25.24 | |
| 87077 | <1% | 52 | $23.78 | |
| 83735 | <1% | 78 | $19.23 | |
| 82105 | <1% | 26 | $15.00 | |
| 82274 | <1% | 156 | $14.29 | |
| 82746 | <1% | 43 | $13.12 | |
| 96156 | <1% | 261 | $12.62 | |
| 84100 | <1% | 314 | $12.08 | |
| 90710 | <1% | 49 | $9.00 | |
| 90633 | <1% | 73 | $9.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 13 | $7.58 |
| 82950 | <1% | 363 | $7.52 | |
| 86140 | <1% | 124 | $4.58 | |
| 82947 | <1% | 228 | $3.11 | |
| 92499 | <1% | 128 | $1.51 | |
| 96127 | 0% | 114 | $0.00 | |
| 87510 | 0% | 358 | $0.00 | |
| 84479 | 0% | 372 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 209 | $0.00 |
| 59430 | 0% | 51 | $0.00 | |
| 99252 | 0% | 26 | $0.00 | |
| 86762 | 0% | 245 | $0.00 | |
| 87480 | 0% | 358 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 27 | $0.00 |
| 90696 | 0% | 30 | $0.00 | |
| 83002 | 0% | 14 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 25 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 552 | $0.00 |
| 82951 | 0% | 15 | $0.00 | |
| 83001 | 0% | 42 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 12 | $0.00 |
| 90656 | 0% | 57 | $0.00 | |
| 84478 | 0% | 94 | $0.00 | |
| 86695 | 0% | 16 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 13 | $0.00 |
| D1206 | Topical application of fluoride varnish | 0% | 31 | $0.00 |
| 90634 | 0% | 51 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 13 | $0.00 |
| 0761 | 0% | 40 | $0.00 | |
| 84480 | 0% | 48 | $0.00 | |
| 83020 | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,031 | $0.00 |
| 87660 | 0% | 358 | $0.00 | |
| 90461 | 0% | 519 | $0.00 | |
| 80074 | 0% | 234 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 92 | $0.00 |
| 83037 | 0% | 117 | $0.00 | |
| 86696 | 0% | 17 | $0.00 | |
| 86431 | 0% | 191 | $0.00 | |
| 85014 | 0% | 205 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 276 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 83013 | 0% | 50 | $0.00 | |
| 86003 | 0% | 140 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 801 | $0.00 |
| 86677 | 0% | 25 | $0.00 | |
| 84460 | 0% | 17 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 94 | $0.00 |
| 84146 | 0% | 38 | $0.00 | |
| 82785 | 0% | 73 | $0.00 | |
| 84450 | 0% | 16 | $0.00 | |
| 90658 | 0% | 25 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 16 | $0.00 |
| 1160F | 0% | 59 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 48 | $0.00 |
| 86703 | 0% | 17 | $0.00 | |
| 87338 | 0% | 12 | $0.00 | |
| 90621 | 0% | 12 | $0.00 |
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 officialSWEIDAN, JACOB (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Pediatrics & Neonatology Medical Group of Orange County INC | Garden Grove, CA | $9.26M |
| Strongkids Medical Group INC | Santa Ana, CA | $4.98M |
| Sweidan, Sohl & Emamian Medical Group, INC. | Long Beach, CA | $995K |
| Strongkids Medical Group INC | Anaheim, CA | $452K |
| Mesa Pulmonary Group, INC. | Costa Mesa, CA | $57K |
| Strongkids Medical Group, INC. | Santa Ana, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.