Physician
Citrus Valley Medical Associates, INC.
Citrus Valley Medical Associates, INC. was paid $2.07M by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoCITRUS VALLEY MEDICAL ASSOCIATES, INC.
NORCO, CA 92860
NORCO, CA 92860
33aNPI1306033709assigned 09/28/2007
33bProvider typePediatrics Physician
28Total paid$2.07M
24GClaims379,006
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#72 of 1,490
Median peer was paid$15K
This provider vs. median138×
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 | 30,551 | $372K | |
| 2019 | 62,067 | $285K | |
| 2020 | 46,782 | $228K | |
| 2021 | 51,521 | $275K | |
| 2022 | 62,200 | $273K | |
| 2023 | 67,406 | $337K | |
| 2024incomplete | 58,479 | $298K |
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 | 26% | 66,556 | 60,802 | $528K |
| S9083 | Global fee urgent care centers | 23% | 8,254 | 7,559 | $485K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 19% | 4,709 | 4,677 | $400K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 4,885 | 4,856 | $266K |
| 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 | 5.4% | 22,778 | 21,427 | $111K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.8% | 3,229 | 3,189 | $100K |
| 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 | 2.1% | 756 | 753 | $43K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 5,055 | 4,764 | $34K |
| 99223 | Prolong inpt eval add15 m | 1.2% | 467 | 462 | $24K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 729 | 366 | $22K |
| 93015 | <1% | 152 | 152 | $12K | |
| 93000 | <1% | 547 | 534 | $8K |
81 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 41 | $7K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 298 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,438 | $6K |
| 99442 | <1% | 967 | $4K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 14 | $4K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 4,851 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $818.70 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $612.69 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 23 | $539.19 |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 7,288 | $503.48 |
| G9920 | Screening performed and negative | <1% | 7,950 | $494.06 |
| 96160 | <1% | 8,313 | $301.97 | |
| 99441 | <1% | 1,052 | $249.87 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 499 | $217.40 |
| 99000 | <1% | 3,915 | $124.25 | |
| 99443 | <1% | 96 | $122.43 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 707 | $108.56 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 286 | $101.87 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 378 | $74.04 |
| 94760 | <1% | 1,954 | $72.89 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 6,524 | $64.09 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 878 | $61.73 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,610 | $59.56 |
| 81003 | <1% | 4,568 | $47.71 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 764 | $43.41 |
| 90674 | <1% | 104 | $32.62 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 251 | $28.71 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,115 | $22.78 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 114 | $18.67 |
| H0049 | Alcohol and/or drug screening | <1% | 7,876 | $14.40 |
| 88141 | <1% | 121 | $10.42 | |
| 3008F | <1% | 58,932 | $2.00 | |
| 3074F | <1% | 43,169 | $1.00 | |
| 3079F | <1% | 18,199 | $1.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 713 | $0.00 |
| 3078F | 0% | 36,874 | $0.00 | |
| 3077F | 0% | 4,326 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 585 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 199 | $0.00 |
| 3050F | 0% | 1,679 | $0.00 | |
| 90461 | 0% | 123 | $0.00 | |
| 99051 | 0% | 54 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 26 | $0.00 |
| 90710 | 0% | 24 | $0.00 | |
| 90715 | 0% | 74 | $0.00 | |
| 1158F | 0% | 26 | $0.00 | |
| 90734 | 0% | 59 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 280 | $0.00 |
| 81025 | 0% | 43 | $0.00 | |
| 1160F | 0% | 14 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 31 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 28 | $0.00 |
| 83655 | 0% | 28 | $0.00 | |
| 99497 | 0% | 30 | $0.00 | |
| 99173 | 0% | 87 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 15 | $0.00 |
| 4004F | 0% | 13 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 13 | $0.00 |
| 1159F | 0% | 26 | $0.00 | |
| 92552 | 0% | 26 | $0.00 | |
| 90662 | 0% | 20 | $0.00 | |
| 3075F | 0% | 9,445 | $0.00 | |
| 3080F | 0% | 2,019 | $0.00 | |
| 3049F | 0% | 5,053 | $0.00 | |
| 1036F | 0% | 2,196 | $0.00 | |
| 3048F | 0% | 8,130 | $0.00 | |
| 90688 | 0% | 143 | $0.00 | |
| 92551 | 0% | 83 | $0.00 | |
| 82962 | 0% | 106 | $0.00 | |
| 85018 | 0% | 76 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 12 | $0.00 |
| 1111F | 0% | 2,065 | $0.00 | |
| 3353F | 0% | 105 | $0.00 | |
| 3351F | 0% | 312 | $0.00 | |
| 3044F | 0% | 82 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 228 | $0.00 |
| 99406 | 0% | 13 | $0.00 | |
| 90651 | 0% | 45 | $0.00 | |
| 4037F | 0% | 12 | $0.00 | |
| 1220F | 0% | 14 | $0.00 | |
| 1170F | 0% | 14 | $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 officialNELSON, ROBERT (MEDICAL DIRECTOR)
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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.