Orchid Medical Group
Orchid Medical Group was paid $22K by Medicaid between Sep 2018 and Jul 2024, across 44 billing codes. Its largest line is 92551, — 51% of everything it billed.
33Billing provider infoORCHID MEDICAL GROUP
REDLANDS, CA 92373
REDLANDS, CA 92373
33aNPI1447793088assigned 11/30/2016
33bProvider typeSpecialist
28Total paid$22K
24GClaims20,438
24DCodes billed44
24AFirst – last monthSep 2018 – Jul 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#723 of 1,230
Median peer was paid$51K
This provider vs. median0.4×
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 | 13 | $538.56 | |
| 2019 | 8,523 | $2K | |
| 2020 | 3,505 | $6K | |
| 2021 | 4,414 | $8K | |
| 2022 | 3,163 | $5K | |
| 2023 | 577 | $97.78 | |
| 2024incomplete | 243 | $52.47 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92551 | 51% | 1,292 | 1,291 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 19% | 603 | 581 | $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 | 10% | 2,242 | 2,181 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.3% | 2,793 | 2,686 | $1K |
| 99381 | 4.7% | 25 | 25 | $1K | |
| 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 | 2.8% | 905 | 879 | $615.75 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.4% | 2,650 | 2,592 | $524.66 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 498 | 488 | $329.97 |
| 90670 | <1% | 165 | 165 | $197.67 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 836 | 820 | $159.18 |
| 90723 | <1% | 114 | 114 | $83.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 407 | 402 | $77.35 |
32 more codes
| 90648 | <1% | 182 | $11.39 | |
| 99401 | 0% | 1,165 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 1,008 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 471 | $0.00 |
| 3725F | 0% | 1,017 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 92 | $0.00 |
| 86631 | 0% | 43 | $0.00 | |
| 90461 | 0% | 14 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 154 | $0.00 |
| G9920 | Screening performed and negative | 0% | 117 | $0.00 |
| 97803 | 0% | 75 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 135 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $0.00 |
| 99173 | 0% | 267 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 70 | $0.00 |
| 90633 | 0% | 45 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90713 | 0% | 14 | $0.00 | |
| 90700 | 0% | 16 | $0.00 | |
| 3008F | 0% | 482 | $0.00 | |
| 90657 | 0% | 121 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,765 | $0.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 153 | $0.00 |
| H0001 | Alcohol and/or drug assessment | 0% | 17 | $0.00 |
| 3353F | 0% | 214 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 119 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 20 | $0.00 |
| 90744 | 0% | 13 | $0.00 | |
| 90680 | 0% | 56 | $0.00 | |
| 99406 | 0% | 12 | $0.00 | |
| 99383 | 0% | 12 | $0.00 | |
| 1036F | 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 officialNEGRETTE, MARLISE (ACCOUNT MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Cosent | San Bernardino, CA | $338K |
| Socal Arthritis INC | Chino, CA | $164K |
| Al-Sayed MD INC | Diamond Bar, CA | $469.95 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.