Physician
Gem Physicians Medical Group INC
Gem Physicians Medical Group INC was paid $359K by Medicaid between Jan 2018 and Mar 2019, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoGEM PHYSICIANS MEDICAL GROUP INC
BAKERSFIELD, CA 93301
BAKERSFIELD, CA 93301
33aNPI1396985404assigned 03/02/2009
33bProvider typeHospitalist Physician
28Total paid$359K
24GClaims13,940
24DCodes billed43
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Hospitalist Physician providers in California
Rank by total paid#44 of 208
Median peer was paid$20K
This provider vs. median18×
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 | 11,624 | $286K | |
| 2019 | 2,316 | $73K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 3,794 | 3,448 | $120K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 11% | 1,680 | 808 | $40K |
| 99223 | Prolong inpt eval add15 m | 9.7% | 640 | 619 | $35K |
| 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 | 9.1% | 1,009 | 928 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 497 | 489 | $23K |
| 99222 | Initial hospital care, per day, moderate complexity | 5.3% | 223 | 222 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 331 | 325 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 173 | 170 | $11K |
| 99239 | Hospital discharge day management, more than 30 minutes | 2.2% | 232 | 228 | $8K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.7% | 283 | 277 | $6K |
| 92551 | 1.6% | 414 | 402 | $6K | |
| 99306 | Prolong nursin fac eval 15m | 1.5% | 191 | 182 | $5K |
31 more codes
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 1.3% | 579 | $5K |
| 52000 | 1.2% | 46 | $4K | |
| 90686 | <1% | 303 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 842 | $2K |
| 90700 | <1% | 160 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 36 | $2K |
| 90707 | <1% | 133 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 63 | $1K |
| 81002 | <1% | 838 | $1K | |
| 90716 | <1% | 126 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 39 | $1K |
| 99173 | <1% | 419 | $1K | |
| 90633 | <1% | 101 | $1K | |
| 99253 | <1% | 17 | $797.28 | |
| 90688 | <1% | 60 | $675.00 | |
| 90670 | <1% | 54 | $607.50 | |
| 90713 | <1% | 49 | $551.25 | |
| 85018 | <1% | 342 | $551.12 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 32 | $370.98 |
| 90648 | <1% | 28 | $315.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 38 | $265.74 |
| 90685 | <1% | 21 | $236.25 | |
| 90715 | <1% | 20 | $202.50 | |
| 90651 | <1% | 19 | $191.25 | |
| 90744 | <1% | 12 | $135.00 | |
| 90734 | <1% | 14 | $135.00 | |
| 96127 | <1% | 17 | $86.55 | |
| 99305 | <1% | 14 | $46.90 | |
| 82962 | <1% | 18 | $3.21 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 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 officialPHILLIPS, VINCENT (PRESIDENT)