Physician
San Marcos Medical Group INC.
San Marcos Medical Group INC. was paid $901K by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 17% of everything it billed.
33Billing provider infoSAN MARCOS MEDICAL GROUP INC.
SAN BERNARDINO, CA 92405
SAN BERNARDINO, CA 92405
33aNPI1235189978assigned 05/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$901K
24GClaims36,826
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#181 of 2,511
Median peer was paid$13K
This provider vs. median70×
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 | 16,588 | $387K | |
| 2019 | 9,799 | $252K | |
| 2020 | 4,564 | $63K | |
| 2021 | 2,074 | $68K | |
| 2022 | 1,208 | $52K | |
| 2023 | 728 | $29K | |
| 2024incomplete | 1,865 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 4,438 | 3,924 | $150K |
| Z1034 | 12% | 1,799 | 1,340 | $111K | |
| 99381 | 11% | 1,040 | 1,009 | $102K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,278 | 3,009 | $100K |
| 59425 | 8.2% | 2,625 | 1,875 | $74K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 708 | 662 | $59K |
| J3490 | Unclassified drugs | 6.5% | 669 | 578 | $58K |
| Z1032 | 5.3% | 297 | 297 | $48K | |
| 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 | 2.5% | 698 | 673 | $23K |
| Z6500 | 2.0% | 145 | 145 | $18K | |
| 76801 | 1.9% | 271 | 269 | $17K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 233 | 232 | $16K |
59 more codes
| S9083 | Global fee urgent care centers | 1.4% | 226 | $12K |
| Z6410 | 1.1% | 1,274 | $10K | |
| 81025 | <1% | 3,456 | $8K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 1,909 | $8K |
| 92551 | <1% | 587 | $6K | |
| 90670 | <1% | 593 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 61 | $5K |
| 99000 | <1% | 1,884 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 493 | $5K |
| 90647 | <1% | 542 | $5K | |
| 99384 | <1% | 39 | $5K | |
| 99383 | <1% | 49 | $5K | |
| 90680 | <1% | 455 | $4K | |
| 90723 | <1% | 418 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 45 | $4K |
| S0197 | Prenatal vitamins, 30-day supply | <1% | 2,725 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 43 | $3K |
| Z6400 | <1% | 141 | $2K | |
| 82947 | <1% | 903 | $2K | |
| 88141 | <1% | 244 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 56 | $2K |
| 81002 | <1% | 1,085 | $2K | |
| 90677 | <1% | 88 | $1K | |
| 85014 | <1% | 742 | $1K | |
| 99401 | <1% | 80 | $1K | |
| 90633 | <1% | 126 | $1K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 80 | $970.20 |
| 93000 | <1% | 47 | $878.13 | |
| Z6200 | <1% | 53 | $819.56 | |
| Z6300 | <1% | 53 | $819.56 | |
| Z6402 | <1% | 53 | $819.56 | |
| 90713 | <1% | 81 | $729.00 | |
| 90688 | <1% | 44 | $665.18 | |
| Z6406 | <1% | 81 | $626.85 | |
| Z6304 | <1% | 70 | $542.82 | |
| Z6204 | <1% | 70 | $542.82 | |
| 85018 | <1% | 245 | $525.65 | |
| 90734 | <1% | 51 | $459.00 | |
| 90715 | <1% | 50 | $450.00 | |
| 90700 | <1% | 41 | $369.00 | |
| 0502F | <1% | 151 | $350.00 | |
| 90658 | <1% | 30 | $346.83 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 17 | $216.24 |
| 90651 | <1% | 17 | $153.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12 | $142.54 |
| 90710 | <1% | 12 | $108.00 | |
| 96127 | <1% | 15 | $71.40 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 13 | $0.00 |
| 3078F | 0% | 23 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 13 | $0.00 |
| 3008F | 0% | 152 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 25 | $0.00 |
| 3074F | 0% | 22 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 730 | $0.00 |
| 2001F | 0% | 40 | $0.00 | |
| 97802 | 0% | 12 | $0.00 | |
| 3079F | 0% | 15 | $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 officialBALBIR, NATT (MD/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| San Marcos Medical Group INC. | Fontana, CA | $5.60M |
| San Marcos Medical Group INC. | San Bernardino, CA | $322K |
| San Marcos Medical Group INC. | Riverside, CA | $50K |
| San Marcos Medical Group INC | Fontana, CA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.