Physician
Southern California Medical Gastroenterology Group, INC.
Southern California Medical Gastroenterology Group, INC. was paid $10K by Medicaid between Feb 2019 and Nov 2022, across 2 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 64% of everything it billed.
33Billing provider infoSOUTHERN CALIFORNIA MEDICAL GASTROENTEROLOGY GROUP, INC.
SANTA MONICA, CA 90404
SANTA MONICA, CA 90404
33aNPI1467536409assigned 10/25/2006
33bProvider typeGastroenterology Physician
28Total paid$10K
24GClaims317
24DCodes billed2
24AFirst – last monthFeb 2019 – Nov 2022
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#241 of 363
Median peer was paid$55K
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 | |
|---|---|---|---|
| 2019 | 305 | $10K | |
| 2022 | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 64% | 114 | 114 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 203 | 200 | $4K |
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 officialKUN, THOMAS (PRESIDENT)