Clinic
Pacific Horizon Medical Center INC.
Pacific Horizon Medical Center INC. was paid $480K by Medicaid between Jan 2018 and Oct 2024, across 23 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 46% of everything it billed.
33Billing provider infoPACIFIC HORIZON MEDICAL CENTER INC.
SAN GABRIEL, CA 91776
SAN GABRIEL, CA 91776
33aNPI1285826669assigned 08/09/2007
33bProvider typeClinic/Center
28Total paid$480K
24GClaims9,744
24DCodes billed23
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#167 of 504
Median peer was paid$102K
This provider vs. median4.7×
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 | 2,074 | $262K | |
| 2019 | 649 | $45K | |
| 2020 | 274 | $6K | |
| 2021 | 2,524 | $63K | |
| 2022 | 3,003 | $86K | |
| 2023 | 650 | $8K | |
| 2024incomplete | 570 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 592 | 591 | $219K |
| 99443 | 12% | 1,534 | 1,312 | $58K | |
| 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 | 12% | 2,298 | 1,951 | $57K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 11% | 376 | 375 | $51K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,418 | 797 | $30K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 5.6% | 1,069 | 1,066 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 900 | 746 | $14K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 2.0% | 772 | 772 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 238 | 206 | $7K |
| 93880 | <1% | 85 | 85 | $2K | |
| 93923 | <1% | 57 | 57 | $2K | |
| 76881 | <1% | 124 | 85 | $951.93 |
11 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 24 | $846.78 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 20 | $600.00 |
| 93980 | <1% | 18 | $502.11 | |
| 93000 | <1% | 39 | $290.25 | |
| 93925 | <1% | 57 | $206.60 | |
| 76775 | <1% | 16 | $120.78 | |
| 93970 | <1% | 18 | $120.73 | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 12 | $74.88 |
| 90674 | 0% | 26 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 27 | $0.00 |
| 93312 | 0% | 24 | $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 officialZENG, ZHI (PRESIDENT/CEO)