Physician
Pathway Medical Group, INC
Pathway Medical Group, INC was paid $63K by Medicaid between Jan 2018 and Feb 2024, across 41 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 66% of everything it billed.
33Billing provider infoPATHWAY MEDICAL GROUP, INC
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
33aNPI1407802069assigned 05/25/2006
33bProvider typeInternal Medicine Physician
28Total paid$63K
24GClaims9,742
24DCodes billed41
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#795 of 2,679
Median peer was paid$13K
This provider vs. median5.0×
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 | 1,368 | $2K | |
| 2019 | 269 | $419.94 | |
| 2020 | 932 | $2K | |
| 2021 | 518 | $672.49 | |
| 2022 | 340 | $419.75 | |
| 2023 | 6,130 | $57K | |
| 2024incomplete | 185 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 66% | 165 | 155 | $41K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 15% | 3,065 | 1,033 | $9K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.9% | 90 | 14 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 1,042 | 977 | $3K |
| G9920 | Screening performed and negative | 2.8% | 62 | 62 | $2K |
| 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 | 2.1% | 496 | 470 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.3% | 260 | 260 | $837.35 |
| 96156 | 1.2% | 206 | 206 | $752.80 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 29 | 29 | $289.00 |
| 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% | 26 | 26 | $169.50 |
| 96127 | <1% | 212 | 212 | $55.30 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 135 | 135 | $47.72 |
29 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 47 | $16.50 |
| 99000 | <1% | 77 | $4.46 | |
| 99499 | <1% | 198 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 502 | $0.00 |
| 1160F | 0% | 377 | $0.00 | |
| 1159F | 0% | 377 | $0.00 | |
| 3725F | 0% | 253 | $0.00 | |
| 3078F | 0% | 171 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 306 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 125 | $0.00 |
| 1003F | 0% | 27 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $0.00 |
| 1158F | 0% | 70 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 12 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 58 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 352 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 45 | $0.00 |
| 3008F | 0% | 232 | $0.00 | |
| 3079F | 0% | 45 | $0.00 | |
| 1220F | 0% | 182 | $0.00 | |
| 1036F | 0% | 53 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 38 | $0.00 |
| 3074F | 0% | 161 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 54 | $0.00 |
| 1000F | 0% | 54 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 58 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 27 | $0.00 |
| 3075F | 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 officialALKHOULI, HASSAN (C.E.O.)
Parent organizationPATHWAY MEDICAL GROUP, INC
| Provider | Location | Paid |
|---|---|---|
| Pathway Medical Group, INC | Westminster, CA | $4.74M |
| Pathway Medical Group, INC | Garden Grove, CA | $330K |
| Pathway Medical Group, INC | Garden Grove, CA | $789.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.