Clinic
Primary Care Medical Group of Inland Empire, INC
Primary Care Medical Group of Inland Empire, INC was paid $437K by Medicaid between Jan 2018 and Nov 2024, across 84 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 20% of everything it billed.
33Billing provider infoPRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC
SAN BERNARDINO, CA 92405
SAN BERNARDINO, CA 92405
33aNPI1255412474assigned 10/17/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$437K
24GClaims94,687
24DCodes billed84
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in California
Rank by total paid#61 of 170
Median peer was paid$145K
This provider vs. median3.0×
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 | 14,048 | $86K | |
| 2019 | 12,230 | $90K | |
| 2020 | 7,900 | $49K | |
| 2021 | 10,291 | $51K | |
| 2022 | 14,321 | $46K | |
| 2023 | 19,857 | $48K | |
| 2024incomplete | 16,040 | $67K |
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 | 20% | 12,096 | 10,283 | $90K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 12,484 | 11,258 | $71K |
| 92552 | 13% | 3,964 | 3,910 | $58K | |
| 99205 | Prolong outpt/office vis | 12% | 1,086 | 1,031 | $54K |
| 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 | 7.5% | 8,843 | 6,901 | $33K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 1,465 | 1,448 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 2,870 | 2,748 | $10K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.2% | 1,759 | 1,726 | $10K |
| 90651 | 2.1% | 809 | 794 | $9K | |
| 90686 | 2.1% | 2,851 | 2,838 | $9K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 2.1% | 28 | 28 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.6% | 235 | 228 | $7K |
72 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 978 | $6K |
| 0004A | 1.2% | 162 | $5K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 3,627 | $5K |
| 91321 | <1% | 40 | $4K | |
| 90670 | <1% | 748 | $4K | |
| 95811 | <1% | 13 | $3K | |
| 90698 | <1% | 637 | $3K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 71 | $2K |
| 90716 | <1% | 451 | $2K | |
| 90480 | <1% | 61 | $2K | |
| 90707 | <1% | 308 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $2K |
| 90633 | <1% | 446 | $2K | |
| 90734 | <1% | 536 | $2K | |
| 88141 | <1% | 61 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $2K |
| 90744 | <1% | 216 | $1K | |
| 91322 | <1% | 14 | $1K | |
| G9920 | Screening performed and negative | <1% | 796 | $1K |
| 0001A | <1% | 39 | $1K | |
| 0002A | <1% | 38 | $1K | |
| 99386 | <1% | 12 | $960.04 | |
| 90674 | <1% | 219 | $864.00 | |
| 90715 | <1% | 273 | $845.91 | |
| 90685 | <1% | 78 | $601.18 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 216 | $580.00 |
| 0124A | <1% | 14 | $520.00 | |
| 90700 | <1% | 91 | $503.73 | |
| 85018 | <1% | 2,579 | $487.53 | |
| 90688 | <1% | 50 | $425.50 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 44 | $420.00 |
| 90671 | <1% | 44 | $377.82 | |
| 90680 | <1% | 46 | $341.91 | |
| 90696 | <1% | 39 | $325.12 | |
| 90713 | <1% | 27 | $234.00 | |
| 82962 | <1% | 2,655 | $160.79 | |
| 99245 | <1% | 15 | $91.98 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,591 | $60.00 |
| 96127 | <1% | 14 | $51.96 | |
| 99173 | <1% | 1,041 | $37.90 | |
| 90672 | <1% | 41 | $33.75 | |
| 94760 | <1% | 34 | $15.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 48 | $6.07 |
| 3078F | 0% | 851 | $0.00 | |
| 1160F | 0% | 6,042 | $0.00 | |
| 3077F | 0% | 601 | $0.00 | |
| 1159F | 0% | 6,069 | $0.00 | |
| 90461 | 0% | 675 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 393 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 27 | $0.00 |
| 99408 | 0% | 16 | $0.00 | |
| 99442 | 0% | 14 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 125 | $0.00 |
| 83655 | 0% | 21 | $0.00 | |
| 3080F | 0% | 359 | $0.00 | |
| 3044F | 0% | 669 | $0.00 | |
| 1220F | 0% | 757 | $0.00 | |
| 1126F | 0% | 3,266 | $0.00 | |
| 1125F | 0% | 3,298 | $0.00 | |
| 3008F | 0% | 1,513 | $0.00 | |
| 3075F | 0% | 181 | $0.00 | |
| 3074F | 0% | 879 | $0.00 | |
| 3079F | 0% | 437 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 342 | $0.00 |
| 99385 | 0% | 90 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 43 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 342 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 352 | $0.00 |
| 3351F | 0% | 279 | $0.00 | |
| 3352F | 0% | 16 | $0.00 | |
| 99441 | 0% | 31 | $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 officialARORA, SUNIL (MEDICAL DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Pacific Hospice INC. | San Bernardino, CA | $2.94M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.