Pacific Coast Surgical Group

Pacific Coast Surgical Group was paid $566K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 57% of everything it billed.

33Billing provider infoPACIFIC COAST SURGICAL GROUP
SAN DIEGO, CA 92103

33aNPI1326370677assigned 02/10/2010

33bProvider typeSurgery Physician

28Total paid$566K

24GClaims5,093

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#45 of 437

Median peer was paid$23K

This provider vs. median25×

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	876	$85K
2019	951	$105K
2020	1,069	$104K
2021	1,055	$84K
2022	642	$94K
2023	329	$60K
2024incomplete	171	$34K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	57%	2,622	2,617	$321K
99244	Office or other outpatient consultation, moderate to high complexity	30%	1,730	1,723	$169K
47562		8.4%	145	142	$47K
46600		2.1%	320	318	$12K
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	<1%	143	137	$5K
45505		<1%	13	13	$5K
46230		<1%	36	36	$2K
46946		<1%	12	12	$1K
49568		<1%	12	12	$1K
99072		<1%	35	35	$900.00
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%	13	13	$736.19
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	12	12	$419.76

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 officialMAYER, DENNIS (PARTNER)