Centers for Family Medicine GP
Centers for Family Medicine GP was paid $2.39M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 44% of everything it billed.
LOS ALAMITOS, CA 90720
Next to other Hospitalist Physician providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,937 | $31K | |
| 2019 | 2,887 | $115K | |
| 2020 | 5,688 | $182K | |
| 2021 | 9,108 | $279K | |
| 2022 | 11,230 | $328K | |
| 2023 | 28,067 | $830K | |
| 2024incomplete | 16,441 | $624K |
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 | 44% | 23,457 | 21,311 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 16,724 | 15,227 | $501K |
| 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 | 7.7% | 2,165 | 2,125 | $183K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.0% | 1,938 | 1,862 | $119K |
| 99205 | Prolong outpt/office vis | 4.5% | 1,088 | 1,038 | $108K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.3% | 998 | 924 | $80K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 3,871 | 1,247 | $74K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 3,050 | 1,097 | $51K |
| 59425 | 1.6% | 934 | 544 | $39K | |
| 99223 | Prolong inpt eval add15 m | 1.2% | 696 | 675 | $30K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 353 | 348 | $23K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 799 | 771 | $19K |
68 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 176 | $15K |
| 90750 | <1% | 71 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 367 | $8K |
| 90674 | <1% | 315 | $7K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,128 | $6K |
| 96156 | <1% | 493 | $5K | |
| 99000 | <1% | 1,398 | $5K | |
| 95251 | <1% | 120 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 192 | $3K |
| 95886 | <1% | 24 | $3K | |
| 99443 | <1% | 80 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 488 | $3K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 26 | $3K |
| 99310 | Prolong nursin fac eval 15m | <1% | 474 | $3K |
| 90686 | <1% | 277 | $3K | |
| 93000 | <1% | 118 | $2K | |
| 93793 | <1% | 237 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 135 | $2K |
| 99442 | <1% | 95 | $2K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 175 | $2K |
| 81025 | <1% | 344 | $1K | |
| 0012A | <1% | 32 | $1K | |
| 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% | 112 | $1K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 20 | $954.75 |
| 90715 | <1% | 29 | $856.28 | |
| 90756 | <1% | 52 | $619.67 | |
| G0008 | Administration of influenza virus vaccine | <1% | 272 | $610.38 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 14 | $520.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $442.83 |
| 90662 | <1% | 102 | $424.40 | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 3,227 | $130.49 |
| 99441 | <1% | 16 | $125.26 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 67 | $122.65 |
| 90670 | <1% | 13 | $119.12 | |
| 96127 | <1% | 26 | $91.36 | |
| 81002 | <1% | 168 | $87.85 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 95 | $84.33 |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 372 | $44.42 |
| G0009 | Administration of pneumococcal vaccine | <1% | 16 | $36.73 |
| 97750 | <1% | 88 | $34.84 | |
| 90694 | <1% | 12 | $25.78 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,535 | $9.91 |
| 97035 | <1% | 67 | $7.43 | |
| 82947 | <1% | 70 | $3.30 | |
| 1101F | 0% | 109 | $0.00 | |
| 1036F | 0% | 805 | $0.00 | |
| 1031F | 0% | 948 | $0.00 | |
| 97162 | 0% | 452 | $0.00 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 0% | 210 | $0.00 |
| 1111F | 0% | 364 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 1170F | 0% | 51 | $0.00 | |
| 36416 | 0% | 222 | $0.00 | |
| 1126F | 0% | 52 | $0.00 | |
| A4215 | Needle, sterile, any size, each | 0% | 12 | $0.00 |
| 1125F | 0% | 13 | $0.00 | |
| 3008F | 0% | 13 | $0.00 | |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 12 | $0.00 |
| 1034F | 0% | 23 | $0.00 | |
| 97012 | 0% | 220 | $0.00 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 0% | 24 | $0.00 |
| 3725F | 0% | 1,679 | $0.00 | |
| 97164 | 0% | 140 | $0.00 | |
| 1159F | 0% | 414 | $0.00 | |
| 1160F | 0% | 304 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 18 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 14 | $0.00 |
| 1158F | 0% | 23 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Optumcare New Mexico LLC | Albuquerque, NM | $23.64M |
| Southwest Medical Associates, INC | Las Vegas, NV | $15.80M |
| Optumcare Colorado Medical Group LLC | Colorado Springs, CO | $8.74M |
| The Corvallis Clinic P C | Corvallis, OR | $8.06M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $6.70M |
| Sierra Home Medical Products INC | Las Vegas, NV | $6.20M |
| Southwest Medical Associates INC. | Las Vegas, NV | $5.20M |
| Optum Medical Group Rhodes P C | Las Vegas, NV | $4.43M |
| Family Health Care Services, INC | Las Vegas, NV | $4.39M |
| 4C Medical Group PLC | Scottsdale, AZ | $4.28M |
| Greater Phoenix Collaborative Care PC | Phoenix, AZ | $3.18M |
| Beaver Medical Group P C | Redlands, CA | $2.88M |
| Sierra Home Medical Products, INC | Las Vegas, NV | $2.40M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $1.77M |
| Family Home Hospice, INC. | Las Vegas, NV | $1.42M |
| Surprise Health Center, PLLC | Surprise, AZ | $1.20M |
| Doc Martins INC a C C | Flagstaff, AZ | $1.08M |
| New West Physicians INC | Golden, CO | $970K |
| Southwest Medical Associates, INC | Las Vegas, NV | $612K |
| Warner Family Practice, PC | Chandler, AZ | $207K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.