Physician
Southern California Primary Care Medical Group, INC
Southern California Primary Care Medical Group, INC was paid $4K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 89% of everything it billed.
33Billing provider infoSOUTHERN CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC
LAKE ELSINORE, CA 92532
LAKE ELSINORE, CA 92532
33aNPI1376632281assigned 10/11/2006
33bProvider typeFamily Medicine Physician
28Total paid$4K
24GClaims59,408
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,576 of 2,511
Median peer was paid$13K
This provider vs. median0.3×
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 | 7,183 | $1K | |
| 2019 | 15,624 | $355.74 | |
| 2020 | 7,344 | $590.27 | |
| 2021 | 7,222 | $200.69 | |
| 2022 | 6,876 | $394.23 | |
| 2023 | 7,864 | $451.63 | |
| 2024incomplete | 7,295 | $277.22 |
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 | 89% | 5,838 | 5,618 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.8% | 184 | 178 | $101.87 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 312 | 308 | $94.52 |
| 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 | 1.9% | 398 | 393 | $68.21 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 31 | 31 | $56.63 |
| 94760 | <1% | 1,805 | 1,762 | $30.45 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | 38 | $18.10 |
| 99448 | <1% | 1,292 | 1,280 | $11.18 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,827 | 3,753 | $1.16 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 3,507 | 3,432 | $0.23 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 201 | 196 | $0.02 |
| 1159F | <1% | 5,464 | 5,279 | $0.01 |
24 more codes
| 1160F | <1% | 7,005 | $0.01 | |
| 3074F | 0% | 5,611 | $0.00 | |
| 3075F | 0% | 520 | $0.00 | |
| 3079F | 0% | 923 | $0.00 | |
| 3008F | 0% | 8,443 | $0.00 | |
| 1036F | 0% | 4,902 | $0.00 | |
| 3080F | 0% | 197 | $0.00 | |
| 1034F | 0% | 99 | $0.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 373 | $0.00 |
| 36410 | 0% | 18 | $0.00 | |
| 3044F | 0% | 25 | $0.00 | |
| 99496 | 0% | 12 | $0.00 | |
| 97802 | 0% | 12 | $0.00 | |
| 1035F | 0% | 12 | $0.00 | |
| 1125F | 0% | 19 | $0.00 | |
| 3077F | 0% | 469 | $0.00 | |
| 3078F | 0% | 5,529 | $0.00 | |
| 3725F | 0% | 664 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 465 | $0.00 |
| 1158F | 0% | 676 | $0.00 | |
| 81002 | 0% | 44 | $0.00 | |
| 99408 | 0% | 53 | $0.00 | |
| 99173 | 0% | 13 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 426 | $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 officialDANESH, MOHAMMAD (DIRECTOR)