Clinic
Saint Elias Medical Group
Saint Elias Medical Group was paid $551K by Medicaid between May 2022 and Oct 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoSAINT ELIAS MEDICAL GROUP
UPLAND, CA 91786
UPLAND, CA 91786
33aNPI1457020760assigned 09/09/2021
33bProvider typePrimary Care Clinic/Center
28Total paid$551K
24GClaims51,289
24DCodes billed62
24AFirst – last monthMay 2022 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#73 of 422
Median peer was paid$25K
This provider vs. median22×
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 | |
|---|---|---|---|
| 2022 | 1,090 | $31K | |
| 2023 | 11,462 | $186K | |
| 2024incomplete | 38,737 | $334K |
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 | 47% | 7,722 | 5,078 | $259K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 1,470 | 1,180 | $75K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 9.0% | 5,359 | 3,634 | $50K |
| 96127 | 6.4% | 7,164 | 4,895 | $36K | |
| 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 | 5.0% | 431 | 423 | $27K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 3.1% | 183 | 183 | $17K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.0% | 817 | 546 | $17K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 122 | 122 | $12K |
| 99483 | Prolong outpt/office vis | 2.1% | 64 | 58 | $12K |
| 94760 | 1.5% | 1,696 | 1,395 | $8K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.3% | 246 | 174 | $7K |
| 99385 | 1.1% | 55 | 52 | $6K |
50 more codes
| 99490 | Ccm add 20min | 1.1% | 144 | $6K |
| 99439 | <1% | 132 | $5K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 17 | $5K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 175 | $4K |
| 99397 | <1% | 16 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 12 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 82 | $1K |
| 99205 | Prolong outpt/office vis | <1% | 13 | $997.36 |
| 99406 | <1% | 41 | $371.16 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 36 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 862 | $0.00 |
| 3513F | 0% | 51 | $0.00 | |
| 1160F | 0% | 3,246 | $0.00 | |
| 3078F | 0% | 1,554 | $0.00 | |
| 4004F | 0% | 646 | $0.00 | |
| 3511F | 0% | 63 | $0.00 | |
| G0104 | Colorectal cancer screening; flexible sigmoidoscopy | 0% | 37 | $0.00 |
| 1159F | 0% | 5,167 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 483 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 32 | $0.00 |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | 0% | 498 | $0.00 |
| 4025F | 0% | 70 | $0.00 | |
| 4019F | 0% | 358 | $0.00 | |
| 99408 | 0% | 73 | $0.00 | |
| 3050F | 0% | 12 | $0.00 | |
| 3074F | 0% | 1,423 | $0.00 | |
| 3008F | 0% | 1,335 | $0.00 | |
| 1170F | 0% | 985 | $0.00 | |
| 3044F | 0% | 1,554 | $0.00 | |
| 3075F | 0% | 213 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 575 | $0.00 |
| 3514F | 0% | 58 | $0.00 | |
| 2001F | 0% | 1,062 | $0.00 | |
| 1036F | 0% | 1,705 | $0.00 | |
| 3048F | 0% | 38 | $0.00 | |
| 4086F | 0% | 435 | $0.00 | |
| 1125F | 0% | 1,533 | $0.00 | |
| 4140F | 0% | 170 | $0.00 | |
| 99386 | 0% | 46 | $0.00 | |
| 2000F | 0% | 303 | $0.00 | |
| 3510F | 0% | 53 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 259 | $0.00 |
| 3049F | 0% | 26 | $0.00 | |
| 3292F | 0% | 39 | $0.00 | |
| 1126F | 0% | 87 | $0.00 | |
| H0001 | Alcohol and/or drug assessment | 0% | 147 | $0.00 |
| 3512F | 0% | 32 | $0.00 | |
| 1000F | 0% | 12 | $0.00 | |
| 3079F | 0% | 31 | $0.00 | |
| 3080F | 0% | 19 | $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 officialDANHASH, MAHER (OWNER)