Physician
Loyola Medical Center a Professional Corporation
Loyola Medical Center a Professional Corporation was paid $209K by Medicaid between Mar 2018 and Jul 2024, across 61 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 45% of everything it billed.
33Billing provider infoLOYOLA MEDICAL CENTER A PROFESSIONAL CORPORATION
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1467654590assigned 06/01/2007
33bProvider typeFamily Medicine Physician
28Total paid$209K
24GClaims17,276
24DCodes billed61
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#429 of 2,511
Median peer was paid$13K
This provider vs. median16×
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 | 287 | $344.92 | |
| 2019 | 4,414 | $172K | |
| 2020 | 6,474 | $7K | |
| 2021 | 2,093 | $9K | |
| 2022 | 3,265 | $15K | |
| 2023 | 731 | $6K | |
| 2024incomplete | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 45% | 335 | 332 | $94K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 27% | 299 | 298 | $56K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 2,980 | 2,545 | $24K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 3.6% | 598 | 598 | $8K |
| 99442 | 2.3% | 182 | 164 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 97 | 95 | $4K |
| 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 | 1.8% | 769 | 680 | $4K |
| 96156 | 1.2% | 297 | 282 | $2K | |
| 99000 | <1% | 824 | 814 | $2K | |
| 97802 | <1% | 252 | 241 | $2K | |
| 99384 | <1% | 13 | 13 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 30 | 28 | $1K |
49 more codes
| G9920 | Screening performed and negative | <1% | 83 | $1K |
| 92551 | <1% | 118 | $878.28 | |
| 96160 | <1% | 252 | $723.11 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 30 | $647.93 |
| 99406 | <1% | 750 | $607.25 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 347 | $380.80 |
| 93000 | <1% | 31 | $267.73 | |
| 90756 | <1% | 14 | $185.73 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 239 | $155.58 |
| 85018 | <1% | 140 | $126.73 | |
| 81000 | <1% | 85 | $122.40 | |
| 92552 | <1% | 28 | $121.20 | |
| 81025 | <1% | 36 | $98.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 12 | $90.36 |
| 96127 | <1% | 117 | $65.85 | |
| 86580 | <1% | 13 | $46.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 239 | $46.70 |
| 99070 | <1% | 205 | $40.23 | |
| 3074F | <1% | 1,223 | $36.85 | |
| 99401 | <1% | 162 | $30.00 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 31 | $23.46 |
| 81002 | <1% | 42 | $7.24 | |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 164 | $2.08 |
| 3079F | <1% | 470 | $1.20 | |
| 3078F | <1% | 1,207 | $0.30 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 267 | $0.00 |
| 4050F | 0% | 347 | $0.00 | |
| 3008F | 0% | 2,002 | $0.00 | |
| 3075F | 0% | 275 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 157 | $0.00 |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 33 | $0.00 |
| 1220F | 0% | 101 | $0.00 | |
| 3080F | 0% | 75 | $0.00 | |
| 1157F | 0% | 26 | $0.00 | |
| 99386 | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 14 | $0.00 |
| 3044F | 0% | 16 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 211 | $0.00 |
| 3077F | 0% | 278 | $0.00 | |
| 1159F | 0% | 188 | $0.00 | |
| 1160F | 0% | 200 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 169 | $0.00 |
| 82948 | 0% | 17 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 19 | $0.00 |
| 99173 | 0% | 32 | $0.00 | |
| 1158F | 0% | 81 | $0.00 | |
| 3288F | 0% | 16 | $0.00 | |
| 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 | 0% | 13 | $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 officialVENEGAS, CARLOS (DIRECTOR)