Aspen Family Medical Group of Modesto, INC.

Aspen Family Medical Group of Modesto, INC. was paid $463K by Medicaid between Jan 2018 and Nov 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoASPEN FAMILY MEDICAL GROUP OF MODESTO, INC.
MODESTO, CA 95355

33aNPI1467533737assigned 10/17/2006

33bProvider typePsychiatry Physician

28Total paid$463K

24GClaims64,173

24DCodes billed62

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Psychiatry Physician providers in California

Rank by total paid#89 of 483

Median peer was paid$24K

This provider vs. median19×

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	10,259	$122K
2019	12,686	$52K
2020	5,930	$39K
2021	5,695	$15K
2022	9,456	$65K
2023	11,824	$77K
2024incomplete	8,323	$92K

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	20%	18,253	16,554	$91K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	13%	14,172	12,394	$59K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	8.8%	1,204	1,172	$41K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	7.4%	1,649	1,647	$34K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	6.6%	1,305	1,269	$30K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	5.9%	2,450	2,448	$27K
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	4.5%	4,965	4,786	$21K
99451		4.4%	611	533	$21K
99407		4.4%	1,544	1,539	$20K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	3.5%	1,172	1,170	$16K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	3.0%	1,341	1,340	$14K
97802		2.7%	873	873	$12K

50 more codes

96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	2.5%	987	$12K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	2.0%	851	$9K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	1.9%	1,262	$9K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.9%	301	$9K
99204	Doctor's office visit, new patient (more involved)	1.8%	369	$8K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	1.5%	730	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	838	$4K
99406		<1%	437	$3K
93000		<1%	89	$2K
81002		<1%	1,229	$2K
96127		<1%	799	$2K
92551		<1%	858	$1K
81025		<1%	502	$1K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	145	$1K
94010		<1%	60	$1K
99173		<1%	467	$931.55
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	75	$558.69
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,240	$467.08
J1030	Injection, methylprednisolone acetate, 40 mg	<1%	40	$408.61
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	50	$389.64
90686		<1%	139	$384.98
99215	Doctor's office visit, returning patient (complex)	<1%	12	$315.56
88175	Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer	<1%	25	$282.00
86580		<1%	127	$275.72
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	27	$272.72
90715		<1%	85	$246.01
99385		<1%	15	$190.60
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	18	$130.42
85018		<1%	246	$116.81
99446		<1%	1,104	$115.34
99401		<1%	352	$50.00
87625		<1%	16	$40.00
90649		<1%	171	$27.05
81003		<1%	13	$23.76
90696		<1%	30	$18.01
90710		<1%	32	$18.01
90633		<1%	19	$0.02
3074F		0%	67	$0.00
3044F		0%	43	$0.00
3075F		0%	56	$0.00
99447		0%	26	$0.00
3008F		0%	54	$0.00
99441		0%	279	$0.00
90651		0%	15	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	13	$0.00
99386		0%	12	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	180	$0.00
90644		0%	69	$0.00
3078F		0%	48	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	12	$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 officialGUTIERREZ, MARIELA (CLINIC SUPERVISOR)