Physician
Modesto Surgical Associates
Modesto Surgical Associates was paid $79K by Medicaid between Jan 2018 and Jun 2019, across 5 billing codes. Its largest line is 99244, Office or other outpatient consultation, moderate to high complexity — 45% of everything it billed.
33Billing provider infoMODESTO SURGICAL ASSOCIATES
MODESTO, CA 95355
MODESTO, CA 95355
33aNPI1326067208assigned 07/19/2006
33bProvider typeSurgical Critical Care Physician
28Total paid$79K
24GClaims1,140
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Surgical Critical Care Physician providers in California
Rank by total paid#2 of 13
Median peer was paid$3K
This provider vs. median23×
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 | 704 | $50K | |
| 2019 | 436 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99244 | Office or other outpatient consultation, moderate to high complexity | 45% | 365 | 365 | $35K |
| 99243 | 41% | 461 | 461 | $32K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 183 | 178 | $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 | 7.0% | 114 | 109 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 17 | 17 | $359.99 |
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 officialPAYNE, CARRIE (SUPERVISOR)