Clinic
Mary Gessner-Peterson Medical Group, INC
Mary Gessner-Peterson Medical Group, INC was paid $401K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 41% of everything it billed.
33Billing provider infoMARY GESSNER-PETERSON MEDICAL GROUP, INC
ALPINE, CA 91901
ALPINE, CA 91901
33aNPI1467709220assigned 08/11/2012
33bProvider typePrimary Care Clinic/Center
28Total paid$401K
24GClaims36,115
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#82 of 422
Median peer was paid$25K
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 | 1,642 | $15K | |
| 2019 | 2,772 | $26K | |
| 2020 | 3,458 | $35K | |
| 2021 | 4,778 | $41K | |
| 2022 | 6,969 | $63K | |
| 2023 | 9,203 | $62K | |
| 2024incomplete | 7,293 | $158K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 41% | 15,107 | 8,755 | $163K |
| 99349 | 15% | 4,484 | 3,924 | $60K | |
| 99350 | Prolong home eval add 15m | 9.0% | 1,975 | 1,763 | $36K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 8.9% | 1,415 | 743 | $36K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 6.9% | 2,683 | 1,709 | $28K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.6% | 3,121 | 1,051 | $23K |
| 99490 | Ccm add 20min | 4.1% | 2,611 | 2,605 | $17K |
| 99305 | 2.4% | 1,292 | 1,244 | $10K | |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 1.0% | 468 | 463 | $4K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 598 | 578 | $4K |
| 99223 | Prolong inpt eval add15 m | <1% | 436 | 418 | $4K |
| 99439 | <1% | 422 | 422 | $3K |
17 more codes
| 99497 | <1% | 256 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 124 | $2K |
| G0181 | Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | <1% | 87 | $2K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | <1% | 151 | $1K |
| 99336 | <1% | 141 | $1K | |
| 99348 | <1% | 103 | $1K | |
| 96116 | <1% | 121 | $757.83 | |
| 99487 | Ccm add 20min | <1% | 44 | $730.43 |
| 99310 | Prolong nursin fac eval 15m | <1% | 79 | $655.32 |
| 17250 | <1% | 25 | $593.19 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 54 | $449.94 |
| 99345 | Prolong home eval add 15m | <1% | 14 | $377.20 |
| 99307 | <1% | 219 | $360.64 | |
| 99496 | <1% | 12 | $206.34 | |
| G2058 | Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 for care management services of less than 20 minutes additional to the first 20 minutes of chronic care management services during a calendar month). (use g2058 in conjunction with 99490). (do not report 99490, g2058 in the same calendar month as 99487, 99489, 99491)). | <1% | 13 | $103.13 |
| 99406 | <1% | 45 | $20.62 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 15 | $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 officialGESSNER-PETERSON, MARY (OWNER)