Physician
Southern California Medical Center, INC.
Southern California Medical Center, INC. was paid $13.63M by Medicaid between Jan 2018 and Sep 2022, across 70 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 82% of everything it billed.
33Billing provider infoSOUTHERN CALIFORNIA MEDICAL CENTER, INC.
VAN NUYS, CA 91411
VAN NUYS, CA 91411
33aNPI1255729661assigned 01/07/2015
33bProvider typeFamily Medicine Physician
28Total paid$13.63M
24GClaims191,303
24DCodes billed70
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#33 of 2,511
Median peer was paid$13K
This provider vs. median1,061×
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 | 16,077 | $2.18M | |
| 2019 | 28,173 | $2.48M | |
| 2020 | 52,856 | $3.14M | |
| 2021 | 63,515 | $3.99M | |
| 2022 | 30,682 | $1.84M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 82% | 84,038 | 58,208 | $11.13M |
| 00003 | Internal/system code - not a standard HCPCS code | 17% | 13,377 | 6,581 | $2.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 13,282 | 11,974 | $54K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 693 | 497 | $22K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 7,348 | 2,638 | $17K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,316 | 627 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 23,452 | 20,701 | $5K |
| 0012A | <1% | 415 | 407 | $4K | |
| 0002A | <1% | 92 | 91 | $4K | |
| 0001A | <1% | 70 | 70 | $3K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 260 | 236 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 6,221 | 6,178 | $2K |
58 more codes
| 0064A | <1% | 56 | $2K | |
| 0011A | <1% | 492 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 120 | $675.90 |
| 90837 | Psychotherapy session, about an hour | <1% | 52 | $650.00 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 854 | $620.43 |
| 81025 | <1% | 95 | $196.00 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 37 | $60.92 |
| 81002 | <1% | 337 | $5.16 | |
| 97032 | 0% | 3,962 | $0.00 | |
| 97802 | 0% | 232 | $0.00 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 0% | 4,014 | $0.00 |
| 99000 | 0% | 9,216 | $0.00 | |
| 88142 | 0% | 128 | $0.00 | |
| 1036F | 0% | 492 | $0.00 | |
| 97010 | 0% | 3,861 | $0.00 | |
| 3008F | 0% | 95 | $0.00 | |
| 1125F | 0% | 620 | $0.00 | |
| 97035 | 0% | 1,073 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 65 | $0.00 |
| 90686 | 0% | 281 | $0.00 | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | 0% | 46 | $0.00 |
| 3074F | 0% | 1,062 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 27 | $0.00 |
| 90674 | 0% | 56 | $0.00 | |
| 3044F | 0% | 1,101 | $0.00 | |
| 1126F | 0% | 362 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 398 | $0.00 |
| 1000F | 0% | 555 | $0.00 | |
| 3075F | 0% | 62 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 538 | $0.00 |
| 3079F | 0% | 318 | $0.00 | |
| 99441 | 0% | 465 | $0.00 | |
| 92551 | 0% | 39 | $0.00 | |
| 86580 | 0% | 73 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 43 | $0.00 |
| 99384 | 0% | 13 | $0.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $0.00 |
| 9441 | 0% | 34 | $0.00 | |
| 9442 | 0% | 14 | $0.00 | |
| 85018 | 0% | 40 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 26 | $0.00 |
| 81000 | 0% | 12 | $0.00 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 0% | 2,668 | $0.00 |
| 97161 | 0% | 456 | $0.00 | |
| 1160F | 0% | 479 | $0.00 | |
| 82948 | 0% | 2,699 | $0.00 | |
| 90756 | 0% | 420 | $0.00 | |
| 3078F | 0% | 824 | $0.00 | |
| 99173 | 0% | 407 | $0.00 | |
| 1159F | 0% | 479 | $0.00 | |
| 83026 | 0% | 364 | $0.00 | |
| 90649 | 0% | 54 | $0.00 | |
| 92552 | 0% | 98 | $0.00 | |
| 99442 | 0% | 284 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 55 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 27 | $0.00 |
| 3077F | 0% | 33 | $0.00 | |
| 90715 | 0% | 12 | $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 officialBUSHERI, SHEILA (CEO)