Bright Heart Health Medical Group a Medical Corporation
Bright Heart Health Medical Group a Medical Corporation was paid $4.55M by Medicaid between Jul 2019 and Nov 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoBRIGHT HEART HEALTH MEDICAL GROUP A MEDICAL CORPORATION
WALNUT CREEK, CA 94597
WALNUT CREEK, CA 94597
33aNPI1427569037assigned 10/23/2017
33bProvider typeSpecialist
28Total paid$4.55M
24GClaims126,006
24DCodes billed30
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#55 of 1,230
Median peer was paid$51K
This provider vs. median89×
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 | |
|---|---|---|---|
| 2019 | 613 | $3K | |
| 2020 | 13,918 | $223K | |
| 2021 | 36,899 | $824K | |
| 2022 | 42,113 | $1.54M | |
| 2023 | 21,390 | $1.11M | |
| 2024incomplete | 11,073 | $848K |
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 | 51% | 38,292 | 18,978 | $2.33M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 25,277 | 12,518 | $1.06M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.2% | 3,490 | 2,360 | $192K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | 4.1% | 24,179 | 16,581 | $187K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.1% | 5,262 | 3,855 | $142K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.9% | 3,354 | 2,560 | $132K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 2.3% | 1,371 | 1,141 | $103K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 2.3% | 15,380 | 6,650 | $102K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.2% | 2,060 | 1,540 | $101K |
| 99205 | Prolong outpt/office vis | <1% | 467 | 421 | $43K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,364 | 1,267 | $33K |
| 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% | 401 | 379 | $30K |
18 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 711 | $27K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 390 | $25K |
| 99493 | <1% | 472 | $19K | |
| 99494 | <1% | 365 | $5K | |
| 99492 | <1% | 74 | $5K | |
| 99406 | <1% | 1,208 | $4K | |
| G9920 | Screening performed and negative | <1% | 194 | $4K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 174 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 270 | $1K |
| 96127 | <1% | 488 | $1K | |
| 99408 | <1% | 29 | $1K | |
| 99417 | Prolong home eval add 15m | <1% | 27 | $905.59 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 101 | $847.45 |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | <1% | 52 | $594.98 |
| G2088 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure) | <1% | 54 | $244.01 |
| 80305 | <1% | 57 | $80.84 | |
| 99484 | 0% | 16 | $0.00 | |
| 96160 | 0% | 427 | $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 officialGRIDLEY, ALINA (COO/CFO)