Physician
Seven Star Medical Group INC.
Seven Star Medical Group INC. was paid $19K by Medicaid between Sep 2022 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 76% of everything it billed.
33Billing provider infoSEVEN STAR MEDICAL GROUP INC.
HEMET, CA 92544
HEMET, CA 92544
33aNPI1295338374assigned 11/19/2020
33bProvider typeOrthopaedic Surgery Physician
28Total paid$19K
24GClaims461
24DCodes billed4
24AFirst – last monthSep 2022 – Oct 2024
Compared with peers
Next to other Orthopaedic Surgery Physician providers in California
Rank by total paid#157 of 292
Median peer was paid$24K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 58 | $1K | |
| 2023 | 288 | $14K | |
| 2024incomplete | 115 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 76% | 394 | 358 | $14K |
| 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 | 16% | 38 | 38 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.6% | 14 | 14 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 15 | 14 | $497.16 |
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 officialGUTIERREZ, ROSE (EXECUTIVE DIRECTOR OF SURGICAL SERV)
| Provider | Location | Paid |
|---|---|---|
| Apex Healthcare Medical Center INC | Hemet, CA | $1.16M |
| Apex Healthcare Medical Center INC | Hemet, CA | $234K |
| Apex Healthcare Medical Center INC | Hemet, CA | $219K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.