Clinic
Athena Medical Group of the Central Coast, INC.
Athena Medical Group of the Central Coast, INC. was paid $2.72M by Medicaid between Jan 2018 and Nov 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoATHENA MEDICAL GROUP OF THE CENTRAL COAST, INC.
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1396178067assigned 08/16/2013
33bProvider typeClinic/Center
28Total paid$2.72M
24GClaims111,493
24DCodes billed80
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#109 of 504
Median peer was paid$102K
This provider vs. median27×
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 | 32,420 | $722K | |
| 2019 | 23,863 | $483K | |
| 2020 | 16,028 | $357K | |
| 2021 | 11,804 | $296K | |
| 2022 | 10,833 | $210K | |
| 2023 | 9,728 | $250K | |
| 2024incomplete | 6,817 | $397K |
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 | 22% | 21,323 | 16,170 | $586K |
| 97811 | 12% | 13,160 | 4,799 | $338K | |
| 59425 | 12% | 4,337 | 2,849 | $331K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 22,058 | 18,753 | $318K |
| 97813 | 6.3% | 12,990 | 4,694 | $171K | |
| 97814 | 6.3% | 12,955 | 4,689 | $170K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.3% | 3,345 | 2,690 | $91K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 1,114 | 1,111 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 799 | 791 | $55K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 1.4% | 49 | 49 | $39K |
| 92552 | 1.2% | 1,276 | 1,267 | $34K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.1% | 730 | 520 | $29K |
68 more codes
| 76819 | Fetal biophysical profile; without non-stress testing | 1.1% | 331 | $29K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 152 | $25K |
| 76801 | <1% | 201 | $25K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 560 | $24K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 117 | $21K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 147 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 214 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 234 | $17K |
| 76830 | Ultrasound, transvaginal | <1% | 140 | $17K |
| 76820 | <1% | 308 | $14K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 142 | $14K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 162 | $14K |
| 90670 | <1% | 681 | $13K | |
| 90686 | <1% | 618 | $12K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 151 | $12K |
| 90698 | <1% | 664 | $12K | |
| 98942 | <1% | 310 | $11K | |
| 90707 | <1% | 394 | $11K | |
| 20552 | <1% | 316 | $10K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 98 | $10K |
| 90633 | <1% | 490 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 83 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 670 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 202 | $7K |
| 76770 | <1% | 113 | $7K | |
| 97810 | <1% | 722 | $7K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 98 | $7K |
| 90715 | <1% | 237 | $7K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 175 | $6K |
| 99173 | <1% | 884 | $6K | |
| 90716 | <1% | 305 | $6K | |
| 90744 | <1% | 341 | $6K | |
| 59430 | <1% | 69 | $6K | |
| 90681 | <1% | 304 | $5K | |
| 81002 | <1% | 2,312 | $5K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 165 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 57 | $4K |
| 96127 | <1% | 654 | $4K | |
| 80305 | <1% | 333 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 187 | $3K |
| 85018 | <1% | 1,207 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 326 | $3K |
| 59025 | Fetal non-stress test | <1% | 57 | $2K |
| 90685 | <1% | 91 | $2K | |
| 90756 | <1% | 74 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 34 | $2K |
| 99201 | <1% | 32 | $1K | |
| 99243 | <1% | 14 | $1K | |
| 82947 | <1% | 427 | $1K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 57 | $1K |
| 99385 | <1% | 31 | $1K | |
| 99460 | <1% | 14 | $950.06 | |
| 90651 | <1% | 50 | $900.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 125 | $873.32 |
| 90734 | <1% | 46 | $828.00 | |
| 90674 | <1% | 36 | $730.98 | |
| 90680 | <1% | 42 | $711.00 | |
| 97124 | <1% | 51 | $433.88 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 53 | $223.00 |
| 90649 | <1% | 12 | $216.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 54 | $153.35 |
| 81025 | <1% | 40 | $126.72 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 18 | $117.40 |
| 99497 | <1% | 29 | $59.28 | |
| 82962 | <1% | 38 | $44.00 | |
| 93000 | <1% | 14 | $33.76 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 31 | $33.52 |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 13 | $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 officialKHIEU, WILLIAM (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Ob Gyn Associates of the Central Coast | Salinas, CA | $6.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.