Physician
Seven Star Medical Group INC.
Seven Star Medical Group INC. was paid $312K by Medicaid between Sep 2021 and Nov 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSEVEN STAR MEDICAL GROUP INC.
HEMET, CA 92544
HEMET, CA 92544
33aNPI1346843422assigned 11/19/2020
33bProvider typeFamily Medicine Physician
28Total paid$312K
24GClaims10,360
24DCodes billed23
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#341 of 2,511
Median peer was paid$13K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2021 | 14 | $37.12 | |
| 2022 | 45 | $314.21 | |
| 2023 | 5,408 | $165K | |
| 2024incomplete | 4,893 | $147K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 2,857 | 2,677 | $87K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,850 | 2,460 | $65K |
| 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 | 16% | 626 | 626 | $49K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 10% | 640 | 627 | $31K |
| 99205 | Prolong outpt/office vis | 6.1% | 262 | 262 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 225 | 225 | $12K |
| 59425 | 3.9% | 201 | 142 | $12K | |
| 99443 | 2.5% | 105 | 102 | $8K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.7% | 125 | 125 | $5K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 244 | 240 | $5K |
| 95251 | 1.5% | 216 | 211 | $5K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.1% | 86 | 83 | $3K |
11 more codes
| 51701 | <1% | 26 | $2K | |
| 99442 | <1% | 34 | $2K | |
| 81002 | <1% | 853 | $2K | |
| 99441 | <1% | 34 | $1K | |
| 81025 | <1% | 244 | $675.88 | |
| 20610 | <1% | 15 | $589.10 | |
| 82962 | <1% | 320 | $508.86 | |
| 81003 | <1% | 227 | $430.68 | |
| 99000 | <1% | 79 | $283.61 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 14 | $32.01 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 77 | $29.64 |
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 officialCOTA, SOPHIE (OPERATIONS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Seven Star Medical Group INC. | Hemet, CA | $543K |
| Seven Star Medical Group INC. | Hemet, CA | $186K |
| Seven Star Medical Group INC. | Hemet, CA | $4K |
| Seven Star Medical Group INC. | Hemet, CA | $950.40 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.