Carewell Medical Group INC

Carewell Medical Group INC was paid $612K by Medicaid between Dec 2018 and Nov 2024, across 23 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 33% of everything it billed.

33Billing provider infoCAREWELL MEDICAL GROUP INC
APPLE VALLEY, CA 92307

33aNPI1235629338assigned 05/14/2018

33bProvider typeRheumatology Physician

28Total paid$612K

24GClaims10,006

24DCodes billed23

24AFirst – last monthDec 2018 – Nov 2024

Compared with peers

Next to other Rheumatology Physician providers in California

Rank by total paid#30 of 147

Median peer was paid$43K

This provider vs. median14×

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	13	$736.19
2019	250	$12K
2020	562	$33K
2021	1,050	$46K
2022	1,491	$68K
2023	2,732	$202K
2024incomplete	3,908	$250K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	33%	3,327	3,236	$201K
76881		24%	892	888	$147K
J1745	Injection, infliximab, excludes biosimilar, 10 mg	18%	109	76	$109K
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	7.1%	2,416	2,319	$44K
99245		4.8%	269	269	$30K
Q5104	Injection, infliximab-abda, biosimilar, (renflexis), 10 mg	3.8%	12	12	$23K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	3.0%	853	840	$18K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.5%	186	186	$15K
96413	Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance	2.1%	656	620	$13K
96415		<1%	197	186	$4K
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	<1%	50	50	$3K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	578	558	$2K

11 more codes

G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	130	$1K
99205	Prolong outpt/office vis	<1%	12	$1K
99406		<1%	70	$634.29
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	79	$464.71
20610		<1%	13	$403.53
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	19	$374.29
76882		<1%	28	$331.58
G0444	Annual depression screening, 5 to 15 minutes	<1%	13	$192.00
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	28	$88.63
3008F		0%	35	$0.00
1159F		0%	34	$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 officialKARNANI, DIRAJ (OWNER)