Physician
Providence Medical Institute
Providence Medical Institute was paid $530K by Medicaid between Jan 2018 and Dec 2024, across 93 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 13% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL INSTITUTE
TORRANCE, CA 90503
TORRANCE, CA 90503
33aNPI1376594671assigned 05/12/2006
33bProvider typeFamily Medicine Physician
28Total paid$530K
24GClaims213,251
24DCodes billed93
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#250 of 2,511
Median peer was paid$13K
This provider vs. median41×
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 | 433 | $6K | |
| 2019 | 42 | $2K | |
| 2020 | 3,742 | $32K | |
| 2021 | 37,419 | $220K | |
| 2022 | 39,597 | $104K | |
| 2023 | 62,320 | $115K | |
| 2024incomplete | 69,698 | $51K |
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 | 13% | 38,578 | 37,365 | $71K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,500 | 3,490 | $61K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 11% | 2,199 | 2,167 | $57K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 10% | 2,776 | 2,048 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 1,683 | 1,683 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.4% | 1,071 | 1,070 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 37,539 | 36,239 | $43K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 2,204 | 2,149 | $40K |
| 92551 | 4.6% | 5,109 | 5,103 | $24K | |
| 90686 | 1.9% | 3,443 | 3,440 | $10K | |
| 90670 | 1.8% | 1,725 | 1,720 | $10K | |
| 90651 | 1.5% | 525 | 525 | $8K |
81 more codes
| 90633 | <1% | 727 | $5K | |
| 90680 | <1% | 769 | $5K | |
| 90698 | <1% | 815 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 310 | $4K |
| 90744 | <1% | 477 | $3K | |
| 90715 | <1% | 527 | $3K | |
| 90716 | <1% | 289 | $3K | |
| 90707 | <1% | 272 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 60 | $2K |
| 90700 | <1% | 214 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 696 | $2K |
| 99381 | <1% | 39 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 656 | $2K |
| 90697 | <1% | 268 | $2K | |
| 90734 | <1% | 176 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 43 | $2K |
| 85018 | <1% | 1,643 | $2K | |
| 20610 | <1% | 124 | $1K | |
| 90648 | <1% | 163 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,024 | $1K |
| 99385 | <1% | 53 | $978.99 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 39 | $968.26 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 79 | $867.03 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 553 | $709.96 |
| 99383 | <1% | 12 | $651.36 | |
| 90710 | <1% | 55 | $477.00 | |
| 90696 | <1% | 53 | $450.00 | |
| 90619 | <1% | 56 | $396.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 123 | $373.68 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,301 | $354.32 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 306 | $280.32 |
| 90732 | <1% | 39 | $255.28 | |
| 90656 | <1% | 152 | $170.54 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 553 | $164.24 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 212 | $152.64 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 871 | $136.93 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,329 | $132.56 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 394 | $131.10 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,763 | $97.24 |
| 36415 | Collection of venous blood by venipuncture | <1% | 16,088 | $60.00 |
| 92557 | <1% | 76 | $40.45 | |
| 92134 | <1% | 59 | $36.70 | |
| 96127 | <1% | 913 | $28.00 | |
| 90461 | <1% | 1,871 | $26.02 | |
| 81003 | <1% | 970 | $19.08 | |
| 82962 | <1% | 30 | $13.11 | |
| 92550 | <1% | 74 | $10.77 | |
| 96161 | <1% | 928 | $9.06 | |
| 3074F | 0% | 30,349 | $0.00 | |
| 99459 | 0% | 240 | $0.00 | |
| 3079F | 0% | 2,163 | $0.00 | |
| 99174 | 0% | 114 | $0.00 | |
| 3075F | 0% | 346 | $0.00 | |
| 93351 | 0% | 14 | $0.00 | |
| 90677 | 0% | 112 | $0.00 | |
| 99493 | 0% | 89 | $0.00 | |
| 93000 | 0% | 13 | $0.00 | |
| 0072A | 0% | 32 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 45 | $0.00 |
| 36416 | 0% | 12 | $0.00 | |
| 93320 | 0% | 14 | $0.00 | |
| 90688 | 0% | 13 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 12 | $0.00 |
| 11900 | 0% | 13 | $0.00 | |
| 3078F | 0% | 28,878 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 2,067 | $0.00 |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 0% | 80 | $0.00 |
| 99173 | 0% | 4,869 | $0.00 | |
| 81025 | 0% | 276 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 81 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 79 | $0.00 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 0% | 93 | $0.00 |
| 3077F | 0% | 160 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 152 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 36 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 143 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 45 | $0.00 |
| 0071A | 0% | 70 | $0.00 | |
| 93325 | 0% | 14 | $0.00 | |
| 73630 | 0% | 17 | $0.00 | |
| 73030 | 0% | 14 | $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 officialKURCZ, KELLY (CHEIF OPERATING OFFICER)