Physician
Cajon Medical Group PC
Cajon Medical Group PC was paid $89K by Medicaid between Nov 2019 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoCAJON MEDICAL GROUP PC
REDLANDS, CA 92373
REDLANDS, CA 92373
33aNPI1326547183assigned 02/07/2018
33bProvider typeInternal Medicine Physician
28Total paid$89K
24GClaims11,933
24DCodes billed28
24AFirst – last monthNov 2019 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#688 of 2,679
Median peer was paid$13K
This provider vs. median7.0×
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 | 75 | $863.69 | |
| 2020 | 2,838 | $7K | |
| 2021 | 3,033 | $5K | |
| 2022 | 1,274 | $10K | |
| 2023 | 1,839 | $9K | |
| 2024incomplete | 2,874 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,417 | 2,767 | $32K |
| 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 | 26% | 4,897 | 3,389 | $23K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 7.1% | 245 | 200 | $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 | 4.1% | 127 | 127 | $4K |
| 99385 | 4.1% | 74 | 74 | $4K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 4.0% | 191 | 191 | $4K |
| 93000 | 3.7% | 117 | 92 | $3K | |
| 99443 | 3.6% | 528 | 432 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.5% | 107 | 97 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 305 | 210 | $2K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 1.1% | 96 | 96 | $1K |
| 99497 | 1.1% | 15 | 15 | $950.60 |
16 more codes
| 99386 | <1% | 23 | $611.76 | |
| 99406 | <1% | 134 | $580.62 | |
| G9920 | Screening performed and negative | <1% | 71 | $525.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 73 | $415.00 |
| H0001 | Alcohol and/or drug assessment | <1% | 13 | $225.00 |
| 99000 | <1% | 292 | $136.29 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $68.21 |
| 3079F | <1% | 133 | $50.00 | |
| 3077F | <1% | 83 | $50.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 108 | $39.29 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 99 | $0.10 |
| 3074F | 0% | 256 | $0.00 | |
| 3080F | 0% | 79 | $0.00 | |
| 3075F | 0% | 65 | $0.00 | |
| 1036F | 0% | 182 | $0.00 | |
| 3078F | 0% | 191 | $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 officialKUNAM, SYAM (CEO)
| Provider | Location | Paid |
|---|---|---|
| Inland Psychiatric Medical Group, INC. | Redlands, CA | $51.82M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.