Imperial Health Holdings, a Professional Medical Corporation

Imperial Health Holdings, a Professional Medical Corporation was paid $241K by Medicaid between Apr 2019 and Aug 2021, across 63 billing codes. Its largest line is U0003, Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r — 20% of everything it billed.

Compared with peers

Next to other Health Maintenance Organization providers in California

Rank by total paid#52 of 151

Median peer was paid$59K

This provider vs. median4.1×

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
2019	85	$589.64
2020	4,510	$102K
2021	7,766	$139K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	20%	607	477	$49K
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	18%	430	367	$44K
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	9.3%	329	299	$22K
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	6.8%	340	294	$16K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.8%	413	384	$12K
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	4.7%	238	212	$11K
87591	Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe	4.2%	411	382	$10K
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	4.2%	401	372	$10K
84443	Thyroid stimulating hormone (TSH)	3.1%	643	635	$7K
80053	Comprehensive metabolic panel	3.0%	1,161	1,020	$7K
80061	Lipid panel	2.9%	729	724	$7K
82306	Vitamin D; 25 hydroxy, includes fraction(s), if performed	2.4%	302	302	$6K

51 more codes

99204	Doctor's office visit, new patient (more involved)	2.0%	48	$5K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.9%	1,110	$5K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	1.6%	315	$4K
83036	Hemoglobin; glycosylated (A1C)	1.5%	538	$4K
71045	Radiologic examination, chest; single view	1.3%	421	$3K
87389	Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies	1.0%	139	$2K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	38	$2K
82607		<1%	134	$1K
74177	Computed tomography, abdomen and pelvis; with contrast material	<1%	17	$1K
99223	Prolong inpt eval add15 m	<1%	17	$1K
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	51	$1K
70450	Computed tomography, head or brain; without contrast material	<1%	25	$970.83
81001		<1%	474	$941.27
99199	Unlisted special service, procedure or report	<1%	26	$940.96
87086	Culture, bacterial; quantitative colony count, urine	<1%	149	$916.12
85027		<1%	193	$824.28
99203	Doctor's office visit, new patient (routine)	<1%	12	$759.45
82746		<1%	84	$736.74
86592		<1%	229	$724.37
82728		<1%	54	$628.52
84439		<1%	59	$373.19
83550		<1%	31	$292.94
97802		<1%	124	$270.45
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	13	$254.73
83540		<1%	30	$209.29
82043		<1%	45	$176.74
82570		<1%	50	$174.47
84153		<1%	14	$150.23
81025		<1%	57	$141.94
85652		<1%	59	$93.78
83690		<1%	45	$87.05
87088		<1%	12	$71.72
83735		<1%	14	$67.98
85610		<1%	33	$63.56
81003		<1%	57	$58.24
80048	Basic metabolic panel (calcium, ionized)	<1%	18	$39.68
36415	Collection of venous blood by venipuncture	<1%	813	$37.57
84550		<1%	12	$37.19
U0005	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2	<1%	187	$15.00
99442		0%	24	$0.00
99072		0%	101	$0.00
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	0%	28	$0.00
3078F		0%	30	$0.00
99173		0%	57	$0.00
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	0%	39	$0.00
90658		0%	12	$0.00
92551		0%	79	$0.00
3074F		0%	60	$0.00
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	111	$0.00
3008F		0%	51	$0.00
99308	Subsequent nursing facility care, per day, straightforward	0%	18	$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 officialBINDRA, PAVELJIT (CEO)