Physician
San Marcos Medical Group INC
San Marcos Medical Group INC was paid $8K by Medicaid between Jan 2018 and Oct 2024, across 52 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSAN MARCOS MEDICAL GROUP INC
FONTANA, CA 92336
FONTANA, CA 92336
33aNPI1447446448assigned 09/24/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$8K
24GClaims16,482
24DCodes billed52
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#566 of 791
Median peer was paid$67K
This provider vs. median0.1×
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 | 146 | $2K | |
| 2019 | 13 | $23.76 | |
| 2020 | 1,617 | $2K | |
| 2021 | 9,465 | $2K | |
| 2022 | 3,398 | $466.13 | |
| 2023 | 1,436 | $1K | |
| 2024incomplete | 407 | $807.84 |
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 | 37% | 2,986 | 2,750 | $3K |
| 99460 | 21% | 46 | 46 | $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 | 18% | 1,239 | 1,168 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 820 | 788 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | 9.2% | 26 | 26 | $775.42 |
| 86580 | <1% | 18 | 18 | $46.62 | |
| 99451 | <1% | 142 | 133 | $31.14 | |
| 99000 | <1% | 1,405 | 1,360 | $14.04 | |
| 3078F | 0% | 495 | 454 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 423 | 418 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 106 | 105 | $0.00 |
| 99173 | 0% | 961 | 957 | $0.00 |
40 more codes
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 199 | $0.00 |
| 90649 | 0% | 14 | $0.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 212 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 157 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 84 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 98 | $0.00 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 74 | $0.00 |
| 83655 | 0% | 47 | $0.00 | |
| 3077F | 0% | 398 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 30 | $0.00 |
| 90633 | 0% | 59 | $0.00 | |
| 81002 | 0% | 86 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 221 | $0.00 |
| 3046F | 0% | 14 | $0.00 | |
| 90734 | 0% | 39 | $0.00 | |
| 90715 | 0% | 20 | $0.00 | |
| 90658 | 0% | 57 | $0.00 | |
| 82947 | 0% | 13 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 19 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 16 | $0.00 |
| 81025 | 0% | 12 | $0.00 | |
| 90670 | 0% | 30 | $0.00 | |
| 90461 | 0% | 48 | $0.00 | |
| 3079F | 0% | 251 | $0.00 | |
| 3074F | 0% | 357 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,246 | $0.00 |
| 85018 | 0% | 623 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,116 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 126 | $0.00 |
| 92551 | 0% | 257 | $0.00 | |
| 3080F | 0% | 124 | $0.00 | |
| 3008F | 0% | 1,063 | $0.00 | |
| 97802 | 0% | 467 | $0.00 | |
| 90651 | 0% | 20 | $0.00 | |
| 3075F | 0% | 88 | $0.00 | |
| 99385 | 0% | 14 | $0.00 | |
| 90686 | 0% | 28 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 40 | $0.00 |
| 93000 | 0% | 25 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 23 | $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 officialBALBIR, NATT (MD/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| San Marcos Medical Group INC. | Fontana, CA | $5.60M |
| San Marcos Medical Group INC. | San Bernardino, CA | $901K |
| San Marcos Medical Group INC. | San Bernardino, CA | $322K |
| San Marcos Medical Group INC. | Riverside, CA | $50K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.