Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Westlake Village › NPI 1467899450
Physician

Pacific Heritage Medical Group INC

Pacific Heritage Medical Group INC was paid $126K by Medicaid between Apr 2018 and Nov 2024, across 13 billing codes. Its largest line is 90791, psychiatric diagnostic evaluation — 42% of everything it billed.

33Billing provider infoPACIFIC HERITAGE MEDICAL GROUP INC
WESTLAKE VILLAGE, CA 91362
33aNPI1467899450assigned 05/30/2013
28Total paid$126K
24GClaims4,281
24DCodes billed13
24AFirst – last monthApr 2018 – Nov 2024
Compared with peers

Next to other Geriatric Psychiatry Physician providers in California

Rank by total paid#4 of 9
Median peer was paid$114K
This provider vs. median1.1×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018363$294.67
2019275$1K
202295$4K
2023902$44K
2024incomplete2,646$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation 42% 682 546 $52K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 798 266 $19K
90792 Psychiatric diagnostic evaluation with medical services 14% 239 228 $17K
99308 Subsequent nursing facility care, per day, straightforward 7.6% 1,340 1,275 $10K
99223 Prolong inpt eval add15 m 5.3% 108 100 $7K
99307 3.5% 628 545 $4K
99239 Hospital discharge day management, more than 30 minutes 3.3% 103 95 $4K
99222 Initial hospital care, per day, moderate complexity 3.1% 96 93 $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 2.7% 51 49 $3K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2.0% 57 55 $2K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 1.7% 143 78 $2K
99304 <1% 14 14 $167.96
1 more codes
99306 Prolong nursin fac eval 15m <1% 22 $142.76

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 officialNANDA, NITIN (PRESIDENT)