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

Permanente Medical Group INC

Permanente Medical Group INC was paid $37.82M by Medicaid between Jan 2018 and Dec 2024, across 303 billing codes. Its largest line is 99285, emergency room visit (most serious) — 14% of everything it billed.

33Billing provider infoPERMANENTE MEDICAL GROUP INC
RICHMOND, CA 94801
33aNPI1235226531assigned 10/06/2006
33bProvider typeAnesthesiology Physician
28Total paid$37.82M
24GClaims1,612,403
24DCodes billed303
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in California

Rank by total paid#3 of 415
Median peer was paid$17K
This provider vs. median2,164×

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$2.0M$4.0M$6.0M2018201920202021202220232024
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
2018135,174$804K
2019144,500$646K
2020112,577$482K
2021206,427$2.68M
2022249,750$2.04M
2023285,346$1.58M
2024incomplete478,629$29.59M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 14% 46,171 45,753 $5.39M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 10% 70,533 70,043 $3.90M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9.8% 161,385 155,397 $3.69M
91320 6.9% 23,580 23,569 $2.60M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.7% 46,529 46,143 $1.41M
90480 3.4% 35,635 35,576 $1.29M
77067 Screening mammography, bilateral, including computer-aided detection 3.3% 38,648 25,976 $1.25M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.3% 11,290 10,999 $1.24M
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 3.0% 37,406 35,753 $1.13M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.6% 148,282 133,979 $982K
90962 2.4% 1,896 1,886 $925K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 2.3% 26,653 26,218 $882K
291 more codes
88305 Level IV - Surgical pathology, gross and microscopic examination 2.1% 28,443 $781K
G0008 Administration of influenza virus vaccine 2.0% 132,816 $744K
70450 Computed tomography, head or brain; without contrast material 1.9% 12,710 $727K
0001A 1.6% 16,714 $599K
0002A 1.6% 16,321 $597K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.3% 2,098 $507K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 46,768 $471K
71046 Radiologic examination, chest; 2 views 1.1% 48,846 $430K
78815 Positron emission tomography (PET) for limited area imaging 1.1% 391 $430K
90662 1.1% 10,535 $399K
71045 Radiologic examination, chest; single view <1% 64,991 $378K
97810 <1% 10,171 $293K
99215 Doctor's office visit, returning patient (complex) <1% 2,822 $266K
92015 Determination of refractive state <1% 74,030 $264K
70551 Magnetic resonance imaging, brain; without contrast material <1% 2,473 $237K
0054A <1% 7,562 $219K
0124A <1% 8,178 $213K
0064A <1% 6,129 $184K
92002 <1% 8,772 $172K
0004A <1% 5,041 $169K
0071A <1% 4,886 $167K
92250 <1% 10,467 $165K
0072A <1% 4,860 $165K
0012A <1% 4,274 $155K
92134 <1% 3,995 $142K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 6,637 $140K
0011A <1% 4,072 $131K
67028 Intravitreal injection of a pharmacologic agent <1% 515 $129K
77080 <1% 3,100 $127K
77063 Screening digital breast tomosynthesis, bilateral <1% 2,862 $126K
90656 <1% 16,723 $117K
90653 <1% 2,216 $116K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 701 $116K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 6,943 $115K
99203 Doctor's office visit, new patient (routine) <1% 3,601 $113K
91322 <1% 1,181 $92K
99232 Hospital visit by a doctor, follow-up day <1% 4,422 $84K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 6,943 $84K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 1,021 $80K
90791 Psychiatric diagnostic evaluation <1% 2,880 $80K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder <1% 4,010 $79K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 987 $75K
99442 <1% 2,428 $74K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 716 $70K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 357 $66K
0134A <1% 2,653 $61K
99397 <1% 195 $58K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,925 $50K
90837 Psychotherapy session, about an hour <1% 3,122 $49K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 869 $49K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 778 $48K
73630 <1% 4,994 $48K
92557 <1% 1,597 $48K
0031A <1% 1,308 $47K
91319 <1% 1,634 $45K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 45,067 $43K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 405 $42K
0154A <1% 1,252 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 5,089 $38K
99441 <1% 4,829 $36K
0052A <1% 1,030 $35K
90686 <1% 91,755 $35K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 3,722 $35K
J0885 Injection, epoetin alfa, (for non-esrd use), 1000 units <1% 75 $34K
71250 <1% 195 $32K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 173 $32K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 191 $31K
91318 <1% 1,501 $30K
99222 Initial hospital care, per day, moderate complexity <1% 318 $29K
99443 <1% 472 $29K
0051A <1% 807 $28K
73030 <1% 1,359 $28K
86580 <1% 17,016 $26K
93000 <1% 1,434 $25K
0073A <1% 782 $25K
92567 <1% 2,460 $24K
73110 <1% 1,450 $23K
99238 Hospital discharge day management, 30 minutes or less <1% 597 $22K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,932 $22K
99310 Prolong nursin fac eval 15m <1% 193 $22K
76642 <1% 348 $22K
88307 <1% 1,790 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 1,084 $21K
88342 <1% 466 $21K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,735 $20K
99307 <1% 462 $20K
0081A <1% 571 $19K
83880 <1% 298 $19K
71275 Computed tomographic angiography, chest, with contrast material <1% 131 $19K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 42 $18K
95819 <1% 80 $18K
76830 Ultrasound, transvaginal <1% 729 $18K
90834 Psychotherapy session, about 45 minutes <1% 1,443 $18K
73610 <1% 1,907 $17K
0082A <1% 483 $17K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 2,104 $16K
73130 <1% 1,001 $16K
99308 Subsequent nursing facility care, per day, straightforward <1% 240 $16K
73564 <1% 948 $16K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 168 $16K
99204 Doctor's office visit, new patient (more involved) <1% 208 $15K
70491 <1% 192 $15K
0111A <1% 487 $15K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,368 $15K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 162 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 675 $14K
36415 Collection of venous blood by venipuncture <1% 3,394 $14K
72100 <1% 728 $14K
98968 <1% 1,802 $14K
97161 <1% 266 $13K
J7999 Compounded drug, not otherwise classified <1% 296 $13K
91321 <1% 533 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 3,453 $13K
95117 <1% 877 $12K
11721 <1% 99 $12K
0003A <1% 357 $12K
88341 <1% 74 $11K
74018 <1% 1,326 $11K
0112A <1% 361 $11K
73560 <1% 792 $11K
95816 <1% 46 $10K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 173 $10K
90472 Immunization administration, each additional vaccine (list separately) <1% 7,635 $9K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 474 $9K
93880 <1% 27 $9K
99205 Prolong outpt/office vis <1% 61 $9K
70496 <1% 92 $9K
73562 <1% 309 $8K
92551 <1% 1,737 $8K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 14 $7K
97535 Self-care/home management training, each 15 minutes <1% 617 $7K
73502 <1% 228 $7K
92133 <1% 132 $7K
92523 <1% 141 $7K
88312 <1% 121 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 226 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 940 $6K
91200 <1% 96 $6K
92504 <1% 133 $6K
70486 <1% 141 $6K
97811 <1% 1,149 $5K
85610 <1% 944 $5K
82565 <1% 2,485 $5K
81001 <1% 4,327 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 338 $5K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 15 $5K
88112 <1% 97 $5K
84460 <1% 1,666 $4K
73221 <1% 34 $4K
82247 <1% 1,771 $4K
72141 <1% 41 $4K
0083A <1% 253 $4K
90682 <1% 6,874 $4K
90677 <1% 147 $4K
93268 <1% 12 $4K
73140 <1% 377 $4K
20610 <1% 25 $4K
31575 <1% 12 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 155 $4K
0013A <1% 121 $4K
97165 <1% 111 $4K
0164A <1% 105 $3K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 631 $3K
90734 <1% 545 $3K
76770 <1% 41 $3K
99173 <1% 3,164 $3K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 169 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 87 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 87 $3K
95800 <1% 851 $3K
93304 <1% 34 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 10,265 $2K
84450 <1% 863 $2K
88313 <1% 90 $2K
72125 Computed tomography, cervical spine; without contrast material <1% 27 $2K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 549 $2K
93325 <1% 49 $2K
90832 Psychotherapy session, about 30 minutes <1% 187 $2K
88304 <1% 237 $2K
76882 <1% 42 $2K
94660 <1% 15 $2K
85652 <1% 1,946 $2K
81003 <1% 2,355 $2K
72040 <1% 96 $2K
80051 <1% 913 $2K
99292 <1% 13 $2K
93320 <1% 33 $2K
93224 <1% 12 $2K
90694 <1% 2,337 $2K
85060 <1% 90 $2K
82947 <1% 1,171 $2K
73080 <1% 152 $2K
82310 <1% 232 $2K
96040 <1% 142 $1K
90691 <1% 545 $1K
84132 <1% 217 $1K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 223 $1K
90710 <1% 90 $1K
84520 <1% 957 $1K
84075 <1% 285 $1K
83735 <1% 95 $1K
83036 Hemoglobin; glycosylated (A1C) <1% 229 $997.96
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 7,405 $981.27
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 41 $932.21
90723 <1% 117 $902.00
90648 <1% 640 $886.00
84702 <1% 178 $857.78
73660 <1% 140 $828.95
70498 <1% 25 $802.90
93296 <1% 13 $792.00
90651 <1% 1,610 $755.00
99070 <1% 84 $720.80
90674 <1% 2,172 $694.99
73620 <1% 111 $668.11
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 14 $600.00
90661 <1% 179 $553.61
92568 <1% 13 $530.00
83690 <1% 81 $521.08
94729 <1% 559 $515.12
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 120 $497.00
93971 <1% 13 $420.17
76376 <1% 16 $418.39
73600 <1% 16 $405.42
90658 <1% 916 $379.98
90670 <1% 505 $360.00
86140 <1% 74 $357.00
94060 <1% 269 $318.62
99201 <1% 748 $299.85
94726 <1% 274 $274.65
99304 <1% 12 $273.76
84295 <1% 24 $270.00
73020 <1% 32 $266.23
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 12 $219.45
88108 <1% 23 $214.17
70460 <1% 13 $212.75
17999 <1% 449 $188.50
90633 <1% 204 $186.00
99221 <1% 12 $168.07
87324 <1% 14 $160.00
87449 <1% 14 $160.00
88142 <1% 13 $146.48
92579 <1% 25 $140.00
73090 <1% 12 $92.28
85027 <1% 13 $74.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 14 $66.34
87210 <1% 151 $48.48
92587 <1% 25 $44.28
88141 <1% 159 $42.12
0173A <1% 138 $40.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 29 $37.91
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 64 $36.00
73120 <1% 16 $25.72
G9920 Screening performed and negative <1% 5,148 $0.16
V2020 Frames, purchases 0% 6,987 $0.00
V2750 Anti-reflective coating, per lens 0% 2,634 $0.00
92588 0% 14 $0.00
90715 0% 154 $0.00
90756 0% 73 $0.00
81002 0% 33 $0.00
0151A 0% 12 $0.00
0141A 0% 29 $0.00
90713 0% 15 $0.00
90672 0% 37 $0.00
90707 0% 39 $0.00
90473 0% 37 $0.00
97533 0% 18 $0.00
76827 0% 26 $0.00
93976 0% 14 $0.00
0172A 0% 15 $0.00
1036F 0% 15,800 $0.00
G0009 Administration of pneumococcal vaccine 0% 323 $0.00
V2781 Progressive lens, per lens 0% 271 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 2,538 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 0% 2,307 $0.00
94010 0% 90 $0.00
G9012 Other specified case management service not elsewhere classified 0% 762 $0.00
90632 0% 51 $0.00
99385 0% 60 $0.00
99024 0% 45 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 0% 19 $0.00
0171A 0% 45 $0.00
90847 Family psychotherapy with the patient present, 50 minutes 0% 16 $0.00
99386 0% 64 $0.00
98967 0% 28 $0.00
72082 0% 16 $0.00
76819 Fetal biophysical profile; without non-stress testing 0% 76 $0.00
64615 0% 13 $0.00
95806 0% 12 $0.00
90696 0% 13 $0.00
90839 0% 12 $0.00
90716 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 officialWEST, PATRICIA (CHIEF FINANCIAL OFFICER)
Parent organizationPERMANENTE MEDICAL GROUP, INC.
Same official

Other billing entities under WEST, PATRICIA

Full network →
ProviderLocationPaid
Permanente Medical Group INCStockton, CA$125.88M
Permanente Medical Group, INC.Richmond, CA$51.11M
Permanente Medical Group, INC.Berkeley, CA$31.35M
Permanente Medical Group INCVallejo, CA$16.13M
Permanente Medical Group INCSanta Clara, CA$8.46M
Permanente Medical Group INCSan Francisco, CA$5.40M
Permanente Medical Group INCRedwood City, CA$4.45M

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