Clinic
Goldome Healthcare INC.
Goldome Healthcare INC. was paid $13K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoGOLDOME HEALTHCARE INC.
POMONA, CA 91768
POMONA, CA 91768
33aNPI1295154672assigned 04/14/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$13K
24GClaims10,172
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#240 of 422
Median peer was paid$25K
This provider vs. median0.5×
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 | 471 | $256.93 | |
| 2019 | 1,828 | $4K | |
| 2020 | 1,281 | $1K | |
| 2021 | 1,482 | $2K | |
| 2022 | 2,369 | $2K | |
| 2023 | 1,764 | $2K | |
| 2024incomplete | 977 | $727.99 |
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 | 48% | 6,866 | 6,220 | $6K |
| 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 | 17% | 1,310 | 1,239 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.8% | 689 | 670 | $730.91 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 5.5% | 34 | 34 | $685.00 |
| 88150 | 5.4% | 27 | 26 | $680.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 286 | 281 | $433.38 |
| 90688 | 3.1% | 117 | 117 | $385.94 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 114 | 114 | $373.15 |
| 90686 | 2.8% | 31 | 31 | $350.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 107 | 99 | $289.76 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.4% | 359 | 359 | $174.37 |
| 99386 | <1% | 73 | 73 | $92.50 |
5 more codes
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 officialCHEN, DAVID (PRESIDENT)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.