Managed care
Southern California Permanente Medical Group
Southern California Permanente Medical Group was paid $194K by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 91320, — 16% of everything it billed.
33Billing provider infoSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
OXNARD, CA 93036
OXNARD, CA 93036
33aNPI1275756652assigned 04/11/2007
33bProvider typeHealth Maintenance Organization
28Total paid$194K
24GClaims46,363
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#57 of 151
Median peer was paid$59K
This provider vs. median3.3×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
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 | 1,545 | $1K | |
| 2019 | 5,726 | $3K | |
| 2020 | 5,164 | $3K | |
| 2021 | 5,093 | $54K | |
| 2022 | 8,058 | $21K | |
| 2023 | 8,041 | $10K | |
| 2024incomplete | 12,736 | $102K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 91320 | 16% | 482 | 482 | $31K | |
| 0011A | 10% | 528 | 528 | $20K | |
| 90480 | 9.6% | 735 | 735 | $19K | |
| 0012A | 9.2% | 452 | 452 | $18K | |
| 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 | 7.2% | 2,215 | 2,136 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 3,531 | 3,423 | $8K |
| 0064A | 4.2% | 209 | 209 | $8K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.4% | 265 | 265 | $7K |
| 0002A | 2.3% | 112 | 112 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.2% | 5,232 | 5,212 | $4K |
| 0001A | 2.1% | 103 | 103 | $4K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 1.9% | 441 | 438 | $4K |
65 more codes
| 0004A | 1.8% | 89 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 222 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.5% | 3,101 | $3K |
| 71046 | Radiologic examination, chest; 2 views | 1.4% | 290 | $3K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.2% | 1,018 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 824 | $2K |
| 0124A | 1.2% | 78 | $2K | |
| 0134A | 1.1% | 56 | $2K | |
| 80051 | 1.1% | 1,603 | $2K | |
| 82565 | 1.0% | 2,133 | $2K | |
| 0072A | <1% | 49 | $2K | |
| 0071A | <1% | 49 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 60 | $2K |
| 0054A | <1% | 42 | $2K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 126 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 484 | $1K |
| 76830 | Ultrasound, transvaginal | <1% | 97 | $1K |
| 84460 | <1% | 1,520 | $1K | |
| 82247 | <1% | 1,361 | $982.21 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $855.00 |
| 85027 | <1% | 1,811 | $842.34 | |
| 90837 | Psychotherapy session, about an hour | <1% | 259 | $836.57 |
| 92015 | Determination of refractive state | <1% | 588 | $813.00 |
| 84075 | <1% | 1,165 | $791.19 | |
| 84520 | <1% | 899 | $770.27 | |
| 85610 | <1% | 381 | $728.74 | |
| 90656 | <1% | 281 | $728.00 | |
| 84450 | <1% | 817 | $699.24 | |
| 82947 | <1% | 1,255 | $647.84 | |
| 90677 | <1% | 39 | $569.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 174 | $551.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,109 | $542.00 |
| 92551 | <1% | 981 | $504.76 | |
| 73562 | <1% | 53 | $493.00 | |
| 82310 | <1% | 129 | $376.39 | |
| 90686 | <1% | 2,096 | $357.47 | |
| 81003 | <1% | 887 | $308.56 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 26 | $289.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 26 | $270.00 |
| 73630 | <1% | 66 | $270.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 90 | $240.00 |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 13 | $227.00 |
| 83690 | <1% | 121 | $139.00 | |
| 90648 | <1% | 50 | $129.00 | |
| 99173 | <1% | 422 | $110.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 312 | $94.40 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 14 | $60.70 |
| 84702 | <1% | 13 | $60.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 70 | $57.47 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 341 | $49.56 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 37 | $48.00 |
| 85652 | <1% | 85 | $21.00 | |
| 90670 | <1% | 36 | $15.75 | |
| 1036F | 0% | 1,570 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 37 | $0.00 |
| 90674 | 0% | 59 | $0.00 | |
| 84484 | 0% | 12 | $0.00 | |
| 90651 | 0% | 25 | $0.00 | |
| 82950 | 0% | 12 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 36 | $0.00 |
| 99051 | 0% | 2,273 | $0.00 | |
| 99177 | 0% | 124 | $0.00 | |
| J7030 | Infusion, normal saline solution , 1000 cc | 0% | 22 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 13 | $0.00 |
| 90661 | 0% | 13 | $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 officialDAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.