Providence Medical Institute
Providence Medical Institute was paid $53K by Medicaid between Oct 2018 and Dec 2024, across 19 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 26% of everything it billed.
TORRANCE, CA 90503
Next to other Endocrinology, Diabetes & Metabolism Physician providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 412 | $986.40 | |
| 2019 | 1,047 | $3K | |
| 2020 | 731 | $8K | |
| 2022 | 192 | $4K | |
| 2023 | 671 | $16K | |
| 2024incomplete | 929 | $22K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 26% | 381 | 381 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 15% | 188 | 186 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 161 | 161 | $7K |
| 92551 | 11% | 549 | 549 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 1,154 | 1,099 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 131 | 130 | $4K |
| 90686 | 7.3% | 479 | 479 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 39 | 39 | $2K |
| 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 | 2.6% | 367 | 345 | $1K |
| 90656 | 1.1% | 69 | 69 | $612.00 | |
| 90670 | 1.1% | 67 | 67 | $603.00 | |
| 90680 | <1% | 45 | 45 | $405.00 |
7 more codes
| 90698 | <1% | 35 | $315.00 | |
| 90744 | <1% | 31 | $279.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 110 | $144.00 |
| 90688 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 83 | $0.00 |
| 90461 | 0% | 25 | $0.00 | |
| 99173 | 0% | 56 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.