Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

SJ Medical Group, INC

SJ Medical Group, INC was paid $234K by Medicaid between Jan 2018 and Dec 2023, across 9 billing codes. Its largest line is 31575, — 36% of everything it billed.

33Billing provider infoSJ MEDICAL GROUP, INC
LOS ANGELES, CA 90020
33aNPI1326271313assigned 08/25/2009
28Total paid$234K
24GClaims12,771
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Facial Plastic Surgery Physician providers in California

Rank by total paid#4 of 13
Median peer was paid$33K
This provider vs. median7.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20182,365$49K
20192,801$67K
20201,927$44K
20211,877$46K
20221,754$25K
20232,047$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31575 36% 2,430 2,275 $85K
69210 26% 2,377 2,310 $61K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 4,218 3,705 $35K
31231 12% 461 431 $27K
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 6.3% 2,319 2,284 $15K
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 3.3% 749 745 $8K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 26 25 $2K
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% 176 175 $1K
99442 <1% 15 14 $630.50

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 officialBAIK, JENNIFER (SECRETARY)