Physician
California University of Science and Medicine
California University of Science and Medicine was paid $698K by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 17% of everything it billed.
33Billing provider infoCALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE
COLTON, CA 92324
COLTON, CA 92324
33aNPI1255849360assigned 01/11/2018
33bProvider typeFamily Medicine Physician
28Total paid$698K
24GClaims12,303
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#213 of 2,511
Median peer was paid$13K
This provider vs. median54×
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 | 501 | $19K | |
| 2019 | 607 | $20K | |
| 2020 | 1,303 | $56K | |
| 2021 | 2,593 | $143K | |
| 2022 | 1,813 | $111K | |
| 2023 | 2,764 | $157K | |
| 2024incomplete | 2,722 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 17% | 3,065 | 1,685 | $116K |
| 95911 | 15% | 805 | 804 | $104K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 15% | 1,034 | 944 | $103K |
| 99223 | Prolong inpt eval add15 m | 15% | 1,539 | 1,509 | $102K |
| 99205 | Prolong outpt/office vis | 6.0% | 568 | 566 | $42K |
| 99443 | 5.6% | 828 | 819 | $39K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.8% | 741 | 734 | $33K |
| 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 | 3.9% | 942 | 922 | $27K |
| 95885 | 3.8% | 883 | 769 | $26K | |
| 99442 | 3.6% | 568 | 562 | $25K | |
| 95909 | 2.7% | 192 | 192 | $19K | |
| 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 | 2.1% | 280 | 278 | $15K |
10 more codes
| 95912 | 2.0% | 68 | $14K | |
| 95816 | 1.8% | 274 | $12K | |
| 95819 | 1.2% | 104 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 177 | $4K |
| 99292 | <1% | 69 | $3K | |
| 95886 | <1% | 46 | $1K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 42 | $1K |
| 99245 | <1% | 12 | $971.28 | |
| 95913 | <1% | 15 | $219.10 | |
| G9920 | Screening performed and negative | <1% | 51 | $172.55 |
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 officialLYONS, PAUL (CEO/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cusm Health | Colton, CA | $59K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.