Physician
Southern California Medical Center, INC.
Southern California Medical Center, INC. was paid $23.13M by Medicaid between Jan 2018 and Dec 2024, across 162 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoSOUTHERN CALIFORNIA MEDICAL CENTER, INC.
EL MONTE, CA 91732
EL MONTE, CA 91732
33aNPI1225357114assigned 05/18/2010
33bProvider typeFamily Medicine Physician
28Total paid$23.13M
24GClaims679,298
24DCodes billed162
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#21 of 2,511
Median peer was paid$13K
This provider vs. median1,800×
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 | 50,976 | $2.06M | |
| 2019 | 73,822 | $2.40M | |
| 2020 | 97,063 | $3.59M | |
| 2021 | 132,773 | $5.19M | |
| 2022 | 118,007 | $3.55M | |
| 2023 | 127,198 | $3.76M | |
| 2024incomplete | 79,459 | $2.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 88% | 115,502 | 86,947 | $20.37M |
| 00003 | Internal/system code - not a standard HCPCS code | 3.9% | 4,259 | 2,513 | $909K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.6% | 26,734 | 10,185 | $591K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 122,118 | 93,617 | $289K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 100,902 | 80,156 | $172K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 18,205 | 16,294 | $164K |
| 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% | 3,163 | 2,895 | $79K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 4,389 | 3,218 | $79K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,376 | 1,165 | $60K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,474 | 1,302 | $59K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 1,468 | 946 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,030 | 1,570 | $26K |
150 more codes
| 99000 | <1% | 30,070 | $25K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,692 | $22K |
| 0002A | <1% | 1,659 | $19K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,767 | $18K |
| 0001A | <1% | 1,712 | $16K | |
| 92552 | <1% | 4,165 | $15K | |
| 0012A | <1% | 2,143 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 2,764 | $11K |
| 0011A | <1% | 2,222 | $10K | |
| 0064A | <1% | 481 | $10K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 4,174 | $9K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,992 | $9K |
| 93000 | <1% | 1,059 | $8K | |
| 92551 | <1% | 2,397 | $8K | |
| 0004A | <1% | 348 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,088 | $6K |
| 99384 | <1% | 701 | $6K | |
| 90686 | <1% | 2,955 | $5K | |
| 90756 | <1% | 2,327 | $4K | |
| 97802 | <1% | 7,287 | $4K | |
| 86328 | <1% | 2,505 | $4K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 12,434 | $4K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,962 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 824 | $3K |
| 99383 | <1% | 427 | $3K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 11,221 | $3K |
| 99173 | <1% | 6,261 | $3K | |
| 83026 | <1% | 3,257 | $3K | |
| 81002 | <1% | 5,577 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 222 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,409 | $2K |
| 86580 | <1% | 944 | $2K | |
| 90633 | <1% | 1,148 | $2K | |
| 99385 | <1% | 221 | $2K | |
| 81025 | <1% | 3,597 | $2K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 616 | $2K |
| 97161 | <1% | 2,082 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,234 | $2K |
| 90649 | <1% | 1,744 | $1K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 1,352 | $1K |
| 0013A | <1% | 51 | $1K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 588 | $1K |
| 90715 | <1% | 1,079 | $1K | |
| 0003A | <1% | 39 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 401 | $1K |
| 0072A | <1% | 133 | $1K | |
| 0071A | <1% | 183 | $880.00 | |
| 97010 | <1% | 9,506 | $871.72 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,372 | $859.76 |
| 88142 | <1% | 1,229 | $856.27 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 83 | $838.52 |
| 99382 | <1% | 106 | $784.77 | |
| 90710 | <1% | 359 | $759.55 | |
| 97014 | <1% | 2,225 | $746.87 | |
| 90670 | <1% | 806 | $742.01 | |
| 82948 | <1% | 11,735 | $719.59 | |
| 92015 | Determination of refractive state | <1% | 1,804 | $687.10 |
| G0466 | Community health center visit, new patient | <1% | 15 | $668.02 |
| 97032 | <1% | 8,988 | $658.81 | |
| 97803 | <1% | 336 | $646.25 | |
| 59425 | <1% | 305 | $640.18 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 123 | $584.84 |
| 90674 | <1% | 1,099 | $566.67 | |
| 90697 | <1% | 231 | $484.31 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 280 | $474.62 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 392 | $468.58 |
| 90734 | <1% | 774 | $461.55 | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 257 | $452.82 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 216 | $451.60 |
| 90619 | <1% | 396 | $434.64 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,299 | $382.31 |
| 90620 | <1% | 303 | $362.37 | |
| 99381 | <1% | 73 | $351.06 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $329.73 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,217 | $309.46 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 57 | $291.73 |
| 99441 | <1% | 1,157 | $290.28 | |
| 90744 | <1% | 324 | $233.37 | |
| 90716 | <1% | 355 | $228.28 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 707 | $228.07 |
| 90694 | <1% | 60 | $227.66 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 1,019 | $191.80 |
| 90656 | <1% | 223 | $171.00 | |
| 99401 | <1% | 37 | $161.52 | |
| 90713 | <1% | 221 | $156.46 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 806 | $151.55 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 77 | $151.42 |
| G0008 | Administration of influenza virus vaccine | <1% | 37 | $142.86 |
| 72100 | <1% | 148 | $137.80 | |
| 99386 | <1% | 29 | $129.56 | |
| 90677 | <1% | 192 | $126.46 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 975 | $119.66 |
| 96156 | <1% | 14 | $114.41 | |
| 3074F | <1% | 15,035 | $111.66 | |
| 85018 | <1% | 758 | $89.87 | |
| 97035 | <1% | 1,797 | $84.38 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 887 | $74.83 |
| 98940 | <1% | 556 | $65.04 | |
| 90648 | <1% | 333 | $64.82 | |
| 3044F | <1% | 3,481 | $64.42 | |
| 99442 | <1% | 268 | $63.28 | |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 247 | $62.34 |
| 1000F | <1% | 2,803 | $61.63 | |
| 3078F | <1% | 13,918 | $53.82 | |
| 3077F | <1% | 2,601 | $53.70 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 371 | $53.66 |
| 90707 | <1% | 148 | $47.82 | |
| 77080 | <1% | 47 | $46.11 | |
| 90700 | <1% | 141 | $37.91 | |
| 73030 | <1% | 43 | $33.22 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 132 | $29.84 |
| 3079F | <1% | 5,009 | $28.86 | |
| 90681 | <1% | 62 | $26.82 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 235 | $25.00 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 20 | $17.13 |
| 73562 | <1% | 14 | $15.78 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 275 | $9.00 |
| 90696 | <1% | 17 | $8.91 | |
| 3008F | <1% | 6,963 | $7.50 | |
| 1126F | <1% | 377 | $4.50 | |
| 3014F | <1% | 145 | $4.50 | |
| 1111F | <1% | 475 | $3.00 | |
| 81000 | <1% | 120 | $2.58 | |
| 3080F | <1% | 1,557 | $2.10 | |
| 1159F | <1% | 1,532 | $1.50 | |
| 1160F | <1% | 1,503 | $1.50 | |
| 3075F | <1% | 2,529 | $0.60 | |
| Z6400 | 0% | 1,195 | $0.00 | |
| 3046F | 0% | 102 | $0.00 | |
| 97164 | 0% | 143 | $0.00 | |
| 90461 | 0% | 142 | $0.00 | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 0% | 47 | $0.00 |
| 90661 | 0% | 132 | $0.00 | |
| 3050F | 0% | 28 | $0.00 | |
| 3045F | 0% | 103 | $0.00 | |
| 1036F | 0% | 2,435 | $0.00 | |
| Z1034 | 0% | 2,406 | $0.00 | |
| Z6410 | 0% | 578 | $0.00 | |
| 1125F | 0% | 936 | $0.00 | |
| Z1032 | 0% | 130 | $0.00 | |
| Z6406 | 0% | 66 | $0.00 | |
| Z6204 | 0% | 44 | $0.00 | |
| 76830 | Ultrasound, transvaginal | 0% | 49 | $0.00 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 0% | 47 | $0.00 |
| 90723 | 0% | 67 | $0.00 | |
| J0690 | Injection, cefazolin sodium, 500 mg | 0% | 16 | $0.00 |
| 90688 | 0% | 71 | $0.00 | |
| 3049F | 0% | 13 | $0.00 | |
| 90381 | 0% | 21 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 13 | $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 officialZARE, ELLIE (SR. PROGRAM MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Southern California Medical Center, INC. | Pico Rivera, CA | $38.08M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.