Spanish Hills Medical Group INC

Spanish Hills Medical Group INC was paid $297K by Medicaid between Apr 2018 and May 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.

33Billing provider infoSPANISH HILLS MEDICAL GROUP INC
OXNARD, CA 93036

33aNPI1265595268assigned 12/19/2006

33bProvider typeFamily Medicine Physician

28Total paid$297K

24GClaims4,825

24DCodes billed9

24AFirst – last monthApr 2018 – May 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#354 of 2,511

Median peer was paid$13K

This provider vs. median23×

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	761	$245.75
2019	859	$64K
2020	343	$25K
2021	647	$55K
2022	905	$68K
2023	899	$63K
2024incomplete	411	$21K

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	74%	3,013	2,886	$220K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	15%	814	767	$45K
90694		6.0%	257	256	$18K
99442		2.0%	117	111	$6K
99443		1.5%	50	50	$4K
96127		<1%	454	445	$2K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	44	41	$597.81
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	12	$499.57
90662		<1%	64	64	$2.38

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 officialALCOCER, VICTOR (PRESIDENT)