Santa Marya Family Medicine Clinic,inc

Santa Marya Family Medicine Clinic,inc was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.

33Billing provider infoSANTA MARYA FAMILY MEDICINE CLINIC,INC
ANAHEIM, CA 92804

33aNPI1245620442assigned 01/27/2015

33bProvider typeClinic/Center

28Total paid$1.05M

24GClaims21,187

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in California

Rank by total paid#138 of 504

Median peer was paid$102K

This provider vs. median10×

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	633	$3K
2019	430	$8K
2020	881	$8K
2021	1,090	$18K
2022	2,756	$58K
2023	5,277	$206K
2024incomplete	10,120	$755K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	62%	12,798	10,625	$654K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.8%	2,498	2,171	$92K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	7.9%	740	739	$83K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.4%	716	698	$67K
99490	Ccm add 20min	3.9%	1,322	1,134	$41K
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	3.8%	447	422	$40K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	2.0%	163	163	$21K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	1.2%	547	511	$13K
99386		<1%	65	65	$10K
99385		<1%	58	58	$8K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	171	167	$7K
90688		<1%	201	200	$4K

18 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	90	$3K
93000		<1%	83	$2K
J3420	Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	<1%	371	$2K
G9920	Screening performed and negative	<1%	83	$2K
90658		<1%	38	$964.94
83036	Hemoglobin; glycosylated (A1C)	<1%	95	$850.94
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	$565.84
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	42	$541.32
99454		<1%	98	$418.19
82962		<1%	353	$323.08
99457		<1%	98	$318.57
99406		<1%	15	$169.92
90686		<1%	12	$142.20
J1885	Injection, ketorolac tromethamine, per 15 mg	<1%	14	$80.64
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	14	$69.00
G0444	Annual depression screening, 5 to 15 minutes	<1%	14	$49.51
99458		<1%	14	$35.06
99453		<1%	15	$14.98

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 officialMARKS, CATHERINE (MD. PRESIDENT)