Managed care
Omnicare Medical Group, INC
Omnicare Medical Group, INC was paid $13K by Medicaid between May 2018 and Sep 2018, across 32 billing codes. Its largest line is 99285, emergency room visit (most serious) — 18% of everything it billed.
33Billing provider infoOMNICARE MEDICAL GROUP, INC
LYNWOOD, CA 90262
LYNWOOD, CA 90262
33aNPI1457548604assigned 10/02/2007
33bProvider typeHealth Maintenance Organization
28Total paid$13K
24GClaims1,264
24DCodes billed32
24AFirst – last monthMay 2018 – Sep 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#99 of 151
Median peer was paid$59K
This provider vs. median0.2×
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 | 1,264 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 18% | 22 | 22 | $2K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 32 | 32 | $2K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 14% | 32 | 17 | $2K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 14% | 38 | 38 | $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 | 13% | 28 | 26 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 35 | 35 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 46 | 46 | $579.23 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 4.1% | 67 | 67 | $533.68 |
| 97803 | 1.8% | 60 | 46 | $240.00 | |
| 80061 | Lipid panel | <1% | 70 | 70 | $71.85 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 14 | $30.00 |
| 80053 | Comprehensive metabolic panel | <1% | 82 | 82 | $19.10 |
20 more codes
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 60 | $12.76 |
| 92081 | 0% | 38 | $0.00 | |
| 99173 | 0% | 26 | $0.00 | |
| 92552 | 0% | 26 | $0.00 | |
| 1160F | 0% | 16 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $0.00 |
| 1159F | 0% | 16 | $0.00 | |
| 86592 | 0% | 18 | $0.00 | |
| 92551 | 0% | 38 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 98 | $0.00 |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 67 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 62 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 66 | $0.00 |
| 97802 | 0% | 43 | $0.00 | |
| 81001 | 0% | 15 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 14 | $0.00 |
| 3008F | 0% | 16 | $0.00 | |
| 81000 | 0% | 38 | $0.00 | |
| 85018 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 56 | $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 officialJOHNSON-CHAVIS, TONI (CHIEF EXECUTIVE OFFICER)
Parent organizationOMNICARE MEDICAL GROUP, INC