Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Riverside › NPI 1316979834
Managed care

Southern California Permanente Medical Group

Southern California Permanente Medical Group was paid $15.66M by Medicaid between Jan 2018 and Dec 2024, across 356 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
RIVERSIDE, CA 92505
33aNPI1316979834assigned 07/07/2006
28Total paid$15.66M
24GClaims1,742,365
24DCodes billed356
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Health Maintenance Organization providers in California

Rank by total paid#15 of 151
Median peer was paid$59K
This provider vs. median265×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018164,620$206K
2019222,788$168K
2020168,660$154K
2021225,226$1.06M
2022250,916$491K
2023300,998$386K
2024incomplete409,157$13.19M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 145,392 142,071 $3.62M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 9.6% 38,990 38,653 $1.50M
91320 5.8% 7,379 7,374 $901K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.9% 165,288 161,457 $768K
77067 Screening mammography, bilateral, including computer-aided detection 3.7% 34,842 28,667 $581K
74177 Computed tomography, abdomen and pelvis; with contrast material 2.8% 8,766 8,265 $442K
90480 2.3% 9,335 9,319 $368K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.0% 41,559 40,450 $307K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 3,152 2,478 $266K
0001A 1.7% 7,113 7,111 $265K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.7% 168,509 167,955 $263K
0002A 1.6% 6,891 6,886 $258K
344 more codes
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 23,118 $250K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.5% 11,371 $241K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.2% 9,926 $192K
70450 Computed tomography, head or brain; without contrast material 1.2% 7,860 $188K
99283 Emergency room visit (moderate) 1.2% 12,823 $187K
90662 1.0% 3,532 $164K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 2,945 $152K
90837 Psychotherapy session, about an hour <1% 15,713 $151K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 13,398 $122K
0012A <1% 3,185 $120K
71046 Radiologic examination, chest; 2 views <1% 33,521 $118K
92015 Determination of refractive state <1% 51,649 $115K
0011A <1% 3,166 $113K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14,052 $102K
67028 Intravitreal injection of a pharmacologic agent <1% 994 $92K
77080 <1% 8,215 $92K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 10,522 $88K
92002 <1% 10,726 $81K
0064A <1% 2,983 $81K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 18,443 $78K
95806 <1% 997 $73K
J0585 Injection, onabotulinumtoxina, 1 unit <1% 1,304 $73K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,413 $66K
76830 Ultrasound, transvaginal <1% 10,102 $66K
93923 <1% 268 $65K
93245 <1% 192 $65K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 10,795 $62K
92551 <1% 57,568 $61K
71045 Radiologic examination, chest; single view <1% 23,866 $59K
92557 <1% 4,088 $56K
99204 Doctor's office visit, new patient (more involved) <1% 1,215 $56K
0071A <1% 1,609 $56K
0004A <1% 1,615 $56K
93970 <1% 173 $55K
73562 <1% 9,525 $54K
90834 Psychotherapy session, about 45 minutes <1% 8,895 $54K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,251 $52K
77065 Tomosynthesis, mammo <1% 951 $50K
11721 <1% 819 $49K
73630 <1% 16,183 $48K
76536 <1% 2,053 $47K
99285 Emergency room visit (most serious) <1% 1,771 $46K
0124A <1% 2,366 $45K
76641 <1% 2,371 $45K
0072A <1% 1,223 $44K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 188 $44K
90656 <1% 8,156 $43K
99215 Doctor's office visit, returning patient (complex) <1% 2,391 $43K
72100 <1% 6,579 $42K
76770 <1% 1,725 $40K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 261 $40K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 8,438 $40K
73030 <1% 7,808 $39K
94726 <1% 1,335 $39K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 15,640 $37K
93971 <1% 236 $35K
64615 <1% 1,131 $34K
99442 <1% 2,030 $34K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 4,950 $33K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 14,750 $33K
99441 <1% 4,286 $32K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 500 $31K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 700 $31K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 1,204 $30K
99203 Doctor's office visit, new patient (routine) <1% 5,313 $30K
94729 <1% 870 $29K
94060 <1% 1,328 $28K
76801 <1% 862 $28K
0054A <1% 1,283 $28K
73130 <1% 7,445 $28K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 3,645 $26K
90472 Immunization administration, each additional vaccine (list separately) <1% 35,204 $26K
73502 <1% 1,486 $25K
0134A <1% 1,389 $25K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 2,157 $25K
73610 <1% 8,878 $24K
71250 <1% 219 $23K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,816 $23K
20610 <1% 324 $21K
85027 <1% 17,445 $21K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 3,941 $21K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 548 $20K
99222 Initial hospital care, per day, moderate complexity <1% 229 $20K
90686 <1% 75,316 $19K
73110 <1% 4,438 $18K
73564 <1% 1,792 $18K
0031A <1% 458 $16K
83880 <1% 587 $16K
82565 <1% 9,968 $16K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 75 $16K
99223 Prolong inpt eval add15 m <1% 161 $16K
11055 <1% 43 $15K
80051 <1% 7,795 $15K
92567 <1% 5,721 $15K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 71 $15K
86360 <1% 1,370 $15K
90677 <1% 825 $13K
99173 <1% 32,866 $13K
93280 <1% 54 $13K
72050 <1% 860 $12K
93880 <1% 43 $12K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 482 $12K
77066 Tomosynthesis, mammo <1% 161 $12K
74018 <1% 4,842 $12K
86359 <1% 1,370 $12K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 1,428 $11K
J7030 Infusion, normal saline solution , 1000 cc <1% 14,065 $11K
72040 <1% 1,291 $10K
97161 <1% 354 $10K
90839 <1% 458 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 1,186 $10K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 858 $10K
99417 Prolong home eval add 15m <1% 405 $10K
99232 Hospital visit by a doctor, follow-up day <1% 756 $9K
84460 <1% 5,681 $9K
82247 <1% 5,159 $9K
90651 <1% 1,821 $9K
73140 <1% 2,104 $9K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 79,305 $8K
90734 <1% 394 $8K
71101 <1% 546 $8K
81329 <1% 870 $8K
0013A <1% 254 $8K
0052A <1% 240 $8K
73522 <1% 177 $7K
81002 <1% 15,723 $7K
0051A <1% 231 $7K
J7999 Compounded drug, not otherwise classified <1% 308 $7K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 235 $7K
84075 <1% 4,538 $7K
99205 Prolong outpt/office vis <1% 310 $7K
90853 Group psychotherapy (other than of a multiple-family group) <1% 2,577 $7K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 102 $7K
73080 <1% 1,651 $6K
85610 <1% 4,127 $6K
90832 Psychotherapy session, about 30 minutes <1% 390 $6K
97165 <1% 291 $6K
84520 <1% 5,596 $6K
93241 <1% 14 $6K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 677 $6K
0154A <1% 159 $6K
72070 <1% 594 $5K
92134 <1% 1,231 $5K
82947 <1% 4,695 $5K
96112 <1% 448 $5K
17110 <1% 26 $5K
77081 <1% 186 $5K
73590 <1% 1,287 $5K
11056 <1% 50 $4K
92504 <1% 276 $4K
84484 <1% 833 $4K
84450 <1% 1,902 $4K
93268 <1% 12 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 54 $4K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,072 $4K
81003 <1% 5,932 $4K
92523 <1% 262 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 21,898 $4K
99201 <1% 1,565 $4K
92587 <1% 1,661 $4K
76881 <1% 722 $4K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 58 $3K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 955 $3K
91319 <1% 246 $3K
0003A <1% 91 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) <1% 325 $3K
82105 <1% 1,337 $3K
70551 Magnetic resonance imaging, brain; without contrast material <1% 136 $3K
90648 <1% 3,269 $3K
72141 <1% 15 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 41 $3K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 28 $3K
73100 <1% 429 $3K
83690 <1% 2,178 $3K
88304 <1% 792 $3K
76870 <1% 128 $2K
73660 <1% 449 $2K
96361 Intravenous infusion, hydration; each additional hour <1% 65 $2K
72080 <1% 122 $2K
0074A <1% 77 $2K
82310 <1% 830 $2K
92579 <1% 605 $2K
73090 <1% 656 $2K
62322 <1% 39 $2K
73565 <1% 182 $2K
73560 <1% 232 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 585 $2K
90723 <1% 537 $2K
81229 <1% 68 $2K
85652 <1% 2,658 $2K
90670 <1% 2,114 $2K
76819 Fetal biophysical profile; without non-stress testing <1% 145 $2K
95117 <1% 392 $1K
90660 <1% 288 $1K
85379 <1% 224 $1K
76813 <1% 487 $1K
90694 <1% 425 $1K
90791 Psychiatric diagnostic evaluation <1% 335 $1K
77072 <1% 633 $1K
88342 <1% 69 $1K
0082A <1% 38 $1K
72081 <1% 163 $1K
84702 <1% 681 $1K
81025 <1% 2,023 $1K
72220 <1% 100 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,450 $1K
92550 <1% 24 $1K
88173 <1% 98 $1K
91318 <1% 150 $1K
73552 <1% 89 $1K
0081A <1% 27 $1K
73523 <1% 24 $985.00
90633 <1% 899 $972.00
99221 <1% 15 $955.87
59025 Fetal non-stress test <1% 1,319 $936.66
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 731 $928.00
99234 <1% 12 $880.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 3,383 $850.96
99460 <1% 249 $841.17
90847 Family psychotherapy with the patient present, 50 minutes <1% 247 $831.65
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 12 $825.00
84132 <1% 207 $749.32
73060 <1% 45 $720.69
83921 <1% 38 $715.00
98968 <1% 333 $710.00
74220 <1% 38 $692.14
0112A <1% 20 $680.00
81207 <1% 12 $615.00
90674 <1% 2,262 $610.00
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 652 $592.00
99188 <1% 232 $591.46
85730 <1% 202 $565.63
85014 <1% 422 $559.20
J2175 Injection, meperidine hydrochloride, per 100 mg <1% 268 $555.80
85018 <1% 402 $553.20
97535 Self-care/home management training, each 15 minutes <1% 1,068 $531.00
90655 <1% 243 $522.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 162 $519.96
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 36 $512.00
97150 Therapeutic procedure(s), group (2 or more individuals) <1% 117 $473.51
70486 <1% 26 $425.00
70360 <1% 56 $414.32
A9575 Injection, gadoterate meglumine, 0.1 ml <1% 40 $404.80
99219 <1% 48 $404.18
0053A <1% 14 $400.00
0111A <1% 12 $400.00
90715 <1% 128 $370.00
99177 <1% 10,054 $361.00
81015 <1% 204 $334.89
81243 <1% 24 $320.00
43235 <1% 12 $309.97
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 212 $290.76
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 15 $270.00
92552 <1% 12 $256.00
99051 <1% 30,187 $241.64
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 60 $239.45
51798 <1% 12 $238.00
74019 <1% 13 $226.08
J1756 Injection, iron sucrose, 1 mg <1% 15 $210.00
83036 Hemoglobin; glycosylated (A1C) <1% 881 $200.00
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 75 $183.00
86580 <1% 64 $180.00
87210 <1% 803 $177.80
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 116 $172.00
73650 <1% 51 $155.00
71275 Computed tomographic angiography, chest, with contrast material <1% 20 $136.10
90672 <1% 930 $104.00
90658 <1% 249 $93.99
0083A <1% 43 $80.00
J7060 5% dextrose/water (500 ml = 1 unit) <1% 46 $79.56
82248 <1% 13 $75.00
90696 <1% 50 $67.00
74022 <1% 12 $62.32
99308 Subsequent nursing facility care, per day, straightforward <1% 77 $60.17
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 382 $46.70
83835 <1% 13 $45.00
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 26 $44.99
90688 <1% 1,024 $44.60
0034A <1% 12 $40.00
J3475 Injection, magnesium sulfate, per 500 mg <1% 29 $27.91
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 13 $25.29
82962 <1% 366 $22.17
87338 <1% 1,322 $8.40
J3010 Injection, fentanyl citrate, 0.1 mg <1% 12 $7.38
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 64 $3.76
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 12 $0.90
G9920 Screening performed and negative <1% 14,160 $0.42
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 222 $0.00
84439 0% 62 $0.00
80061 Lipid panel 0% 312 $0.00
11719 0% 56 $0.00
90750 0% 128 $0.00
87799 0% 54 $0.00
78815 Positron emission tomography (PET) for limited area imaging 0% 38 $0.00
90661 0% 287 $0.00
3046F 0% 134 $0.00
83540 0% 26 $0.00
83970 0% 12 $0.00
99307 0% 28 $0.00
90707 0% 27 $0.00
84590 0% 24 $0.00
86645 0% 12 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 64 $0.00
87186 0% 39 $0.00
99078 0% 13 $0.00
90838 0% 42 $0.00
90710 0% 37 $0.00
82274 0% 114 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 15 $0.00
90700 0% 40 $0.00
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery 0% 14 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 0% 12 $0.00
95004 Percutaneous tests with allergenic extracts, immediate type reaction 0% 12 $0.00
84100 0% 14 $0.00
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 0% 29 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 17 $0.00
01960 0% 12 $0.00
51701 0% 12 $0.00
1036F 0% 45,303 $0.00
3044F 0% 1,413 $0.00
99024 0% 1,637 $0.00
90716 0% 27 $0.00
99220 0% 24 $0.00
87088 0% 169 $0.00
76825 0% 12 $0.00
92227 0% 93 $0.00
99305 0% 15 $0.00
83993 0% 13 $0.00
94660 0% 39 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 277 $0.00
80177 0% 33 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 68 $0.00
82043 0% 248 $0.00
82040 0% 18 $0.00
98967 0% 147 $0.00
99443 0% 25 $0.00
82728 0% 29 $0.00
96415 0% 43 $0.00
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 0% 14 $0.00
83550 0% 39 $0.00
97597 0% 28 $0.00
82607 0% 20 $0.00
97010 0% 15 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 15 $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 officialDAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR)
Same official

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