Pueblo Medical Center INC

Pueblo Medical Center INC was paid $128K by Medicaid between Aug 2021 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 87% of everything it billed.

33Billing provider infoPUEBLO MEDICAL CENTER INC
STANTON, CA 90680

33aNPI1265737043assigned 01/25/2011

33bProvider typeClinic/Center

28Total paid$128K

24GClaims2,789

24DCodes billed3

24AFirst – last monthAug 2021 – Nov 2024

Compared with peers

Next to other Clinic/Center providers in California

Rank by total paid#242 of 504

Median peer was paid$102K

This provider vs. median1.3×

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
2021	230	$14K
2022	886	$47K
2023	976	$39K
2024incomplete	697	$28K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	87%	2,339	2,254	$111K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	12%	435	399	$15K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	15	15	$769.52

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 officialSHARKOFF, JAMES (PRESIDENT)