Physician
Scenic Faculty Medical Group, INC.
Scenic Faculty Medical Group, INC. was paid $816K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 48% of everything it billed.
33Billing provider infoSCENIC FACULTY MEDICAL GROUP, INC.
MODESTO, CA 95354
MODESTO, CA 95354
33aNPI1275559411assigned 07/14/2006
33bProvider typeFamily Medicine Physician
28Total paid$816K
24GClaims20,189
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#196 of 2,511
Median peer was paid$13K
This provider vs. median63×
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 | 3,582 | $130K | |
| 2019 | 3,017 | $117K | |
| 2020 | 2,402 | $94K | |
| 2021 | 2,070 | $83K | |
| 2022 | 3,026 | $136K | |
| 2023 | 4,256 | $180K | |
| 2024incomplete | 1,836 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 48% | 11,211 | 3,545 | $388K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 21% | 4,111 | 1,466 | $169K |
| 99238 | Hospital discharge day management, 30 minutes or less | 11% | 2,324 | 2,280 | $87K |
| 99223 | Prolong inpt eval add15 m | 7.4% | 787 | 774 | $60K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.5% | 638 | 622 | $45K |
| 99460 | 3.6% | 490 | 482 | $29K | |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.0% | 558 | 550 | $25K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.1% | 13 | 13 | $9K |
| 59514 | <1% | 12 | 12 | $3K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 45 | 12 | $1K |
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 officialSIMPSON, LINDA (CREDENTIALING MANAGER)