Managed care
Reyes Medical Group PC
Reyes Medical Group PC was paid $417K by Medicaid between Jan 2018 and Jan 2022, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoREYES MEDICAL GROUP PC
MENIFEE, CA 92584
MENIFEE, CA 92584
33aNPI1467560052assigned 08/25/2006
33bProvider typePoint of Service
28Total paid$417K
24GClaims5,729
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#15 of 45
Median peer was paid$42K
This provider vs. median10×
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 | 1,093 | $83K | |
| 2019 | 1,157 | $85K | |
| 2020 | 1,420 | $98K | |
| 2021 | 2,010 | $145K | |
| 2022 | 49 | $6K |
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 | 34% | 1,026 | 966 | $144K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 31% | 1,080 | 996 | $129K |
| 97803 | 17% | 643 | 616 | $71K | |
| 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 | 3.6% | 84 | 81 | $15K |
| 96156 | 3.2% | 122 | 122 | $13K | |
| G9920 | Screening performed and negative | 2.7% | 361 | 361 | $11K |
| 99173 | 2.1% | 311 | 311 | $9K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 134 | 134 | $6K |
| 92552 | 1.1% | 182 | 182 | $5K | |
| 92551 | 1.0% | 292 | 292 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | 39 | $3K |
| 81000 | <1% | 539 | 537 | $2K |
3 more codes
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 officialSHERIDAN, SHAMUS (CLINIC DIRECTOR)