Preventive Care Network Medical Services, INC.
Preventive Care Network Medical Services, INC. was paid $1.43M by Medicaid between Mar 2018 and Oct 2023, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoPREVENTIVE CARE NETWORK MEDICAL SERVICES, INC.
OAKLAND, CA 94608
OAKLAND, CA 94608
33aNPI1467878363assigned 03/16/2014
33bProvider typeSpecialist
28Total paid$1.43M
24GClaims26,844
24DCodes billed11
24AFirst – last monthMar 2018 – Oct 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#147 of 1,230
Median peer was paid$51K
This provider vs. median28×
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 | 3,075 | $169K | |
| 2019 | 3,916 | $189K | |
| 2020 | 4,476 | $234K | |
| 2021 | 5,667 | $322K | |
| 2022 | 5,185 | $296K | |
| 2023 | 4,525 | $224K |
Box 24 · Service lines
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 | 47% | 12,791 | 12,569 | $681K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 18% | 3,313 | 3,264 | $260K |
| 99490 | Ccm add 20min | 18% | 4,854 | 4,831 | $259K |
| 99491 | Ccm add 20min | 14% | 2,461 | 2,444 | $201K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 645 | 642 | $22K |
| 99336 | <1% | 72 | 68 | $5K | |
| 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 | <1% | 30 | 27 | $2K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 97 | 93 | $2K |
| 99401 | <1% | 215 | 214 | $2K | |
| 99072 | <1% | 16 | 16 | $262.50 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 2,350 | 1,777 | $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 officialWATSON, HENRY (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Preventive Care Pathways | Oakland, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.