Physician
Long Term Care Medical Group, INC
Long Term Care Medical Group, INC was paid $267K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 42% of everything it billed.
33Billing provider infoLONG TERM CARE MEDICAL GROUP, INC
FRESNO, CA 93711
FRESNO, CA 93711
33aNPI1356479877assigned 02/28/2007
33bProvider typeInternal Medicine Physician
28Total paid$267K
24GClaims45,793
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#366 of 2,679
Median peer was paid$13K
This provider vs. median21×
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 | 997 | $6K | |
| 2019 | 1,817 | $8K | |
| 2020 | 5,047 | $23K | |
| 2021 | 6,436 | $30K | |
| 2022 | 6,932 | $37K | |
| 2023 | 11,602 | $64K | |
| 2024incomplete | 12,962 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 42% | 18,331 | 11,752 | $113K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 23% | 12,675 | 9,075 | $62K |
| 99306 | Prolong nursin fac eval 15m | 16% | 2,875 | 2,820 | $43K |
| 95708 | 4.6% | 524 | 188 | $12K | |
| 95700 | 2.1% | 265 | 263 | $6K | |
| 99307 | 2.1% | 2,739 | 2,369 | $6K | |
| 99497 | 1.6% | 854 | 818 | $4K | |
| 99337 | 1.4% | 1,593 | 888 | $4K | |
| 95723 | 1.4% | 183 | 182 | $4K | |
| 99310 | Prolong nursin fac eval 15m | 1.2% | 254 | 216 | $3K |
| 99349 | 1.0% | 887 | 790 | $3K | |
| 99223 | Prolong inpt eval add15 m | <1% | 258 | 249 | $2K |
24 more codes
| 99350 | Prolong home eval add 15m | <1% | 1,747 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,038 | $1K |
| 11043 | <1% | 54 | $962.88 | |
| 95816 | <1% | 156 | $869.01 | |
| 99304 | <1% | 48 | $732.94 | |
| 99316 | <1% | 69 | $329.02 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 193 | $309.96 |
| G0182 | Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more | <1% | 255 | $295.29 |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 115 | $291.06 |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 95 | $253.53 |
| 93042 | <1% | 173 | $122.32 | |
| 99318 | <1% | 27 | $75.60 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 21 | $73.20 |
| 99336 | <1% | 106 | $58.68 | |
| 99441 | <1% | 31 | $37.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 17 | $0.50 |
| G8734 | Elder maltreatment screen documented as negative, follow-up is not required | 0% | 19 | $0.00 |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 82 | $0.00 |
| 1123F | 0% | 15 | $0.00 | |
| 86580 | 0% | 17 | $0.00 | |
| 99343 | 0% | 20 | $0.00 | |
| 11720 | 0% | 12 | $0.00 | |
| 95813 | 0% | 12 | $0.00 | |
| G0127 | Trimming of dystrophic nails, any number | 0% | 33 | $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 officialGROSSMAN, STEPHEN (PRESIDENT)