Physician
Modern Concepts Medical Group
Modern Concepts Medical Group was paid $81K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoMODERN CONCEPTS MEDICAL GROUP
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
33aNPI1386859619assigned 05/11/2007
33bProvider typeFamily Medicine Physician
28Total paid$81K
24GClaims26,353
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#687 of 2,511
Median peer was paid$13K
This provider vs. median6.3×
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 | 1,057 | $14K | |
| 2019 | 2,954 | $16K | |
| 2020 | 3,084 | $5K | |
| 2021 | 2,628 | $6K | |
| 2022 | 6,939 | $18K | |
| 2023 | 5,714 | $18K | |
| 2024incomplete | 3,977 | $4K |
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 | 49% | 3,332 | 3,268 | $40K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 41% | 3,764 | 3,707 | $33K |
| 99408 | 3.7% | 1,180 | 1,177 | $3K | |
| 82947 | 2.3% | 925 | 903 | $2K | |
| 90686 | 1.0% | 249 | 248 | $831.48 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 76 | 73 | $782.13 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 38 | 38 | $646.18 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 557 | 550 | $583.00 |
| 90662 | <1% | 18 | 17 | $145.96 | |
| 96160 | <1% | 99 | 96 | $111.01 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 772 | 765 | $73.00 |
| 99441 | <1% | 25 | 25 | $60.00 |
16 more codes
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 93 | $31.82 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $19.55 |
| 3074F | <1% | 2,610 | $15.10 | |
| 81000 | <1% | 12 | $15.00 | |
| 3008F | <1% | 5,536 | $9.60 | |
| 3078F | <1% | 3,545 | $7.50 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 27 | $2.90 |
| 90658 | 0% | 14 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3044F | 0% | 986 | $0.00 | |
| 3061F | 0% | 347 | $0.00 | |
| 1036F | 0% | 1,147 | $0.00 | |
| 1000F | 0% | 551 | $0.00 | |
| 3075F | 0% | 361 | $0.00 | |
| 90656 | 0% | 35 | $0.00 | |
| 3079F | 0% | 27 | $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 officialHERRERA, MARGARET (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Modern Concepts Medical Group, INC | Montebello, CA | $15K |
| Modern Concepts Medical Group | Pasadena, CA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.