Caduceus Physicians Medical Group
Caduceus Physicians Medical Group was paid $7.85M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.
33Billing provider infoCADUCEUS PHYSICIANS MEDICAL GROUP
YORBA LINDA, CA 92886
YORBA LINDA, CA 92886
33aNPI1497702724assigned 05/30/2006
33bProvider typeNutritionist
28Total paid$7.85M
24GClaims119,028
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Nutritionist providers in California
Rank by total paid#1 of 9
Median peer was paid$2K
This provider vs. median3,503×
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 | 9,589 | $816K | |
| 2019 | 8,483 | $817K | |
| 2020 | 11,156 | $952K | |
| 2021 | 15,818 | $1.16M | |
| 2022 | 15,442 | $1.11M | |
| 2023 | 27,863 | $1.50M | |
| 2024incomplete | 30,677 | $1.50M |
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 | 60% | 53,094 | 44,218 | $4.74M |
| 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% | 23,906 | 21,145 | $1.62M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 3,338 | 3,026 | $236K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 1,605 | 1,575 | $166K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.3% | 1,036 | 1,020 | $106K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.1% | 820 | 814 | $86K |
| 99000 | 1.1% | 5,461 | 5,102 | $83K | |
| 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% | 542 | 535 | $61K |
| Z1034 | <1% | 1,048 | 714 | $57K | |
| 81002 | <1% | 2,257 | 2,138 | $56K | |
| 94760 | <1% | 3,782 | 3,463 | $49K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,339 | 1,318 | $48K |
52 more codes
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 515 | $47K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,032 | $45K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 811 | $44K |
| 96156 | <1% | 871 | $42K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 622 | $39K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 859 | $30K |
| 59514 | <1% | 83 | $29K | |
| 88150 | <1% | 590 | $27K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 761 | $27K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 54 | $27K |
| 92552 | <1% | 1,322 | $24K | |
| G9920 | Screening performed and negative | <1% | 1,276 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 454 | $19K |
| 99173 | <1% | 675 | $15K | |
| 93000 | <1% | 191 | $12K | |
| 81025 | <1% | 2,628 | $11K | |
| 97750 | <1% | 420 | $11K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 162 | $10K |
| 90670 | <1% | 889 | $9K | |
| 96127 | <1% | 1,590 | $7K | |
| 90686 | <1% | 531 | $6K | |
| 90697 | <1% | 347 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 154 | $5K |
| 86328 | <1% | 29 | $3K | |
| 90680 | <1% | 339 | $3K | |
| 90698 | <1% | 272 | $3K | |
| Z1032 | <1% | 14 | $2K | |
| 90633 | <1% | 286 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 72 | $2K |
| Z6410 | <1% | 59 | $2K | |
| 81000 | <1% | 403 | $1K | |
| 90707 | <1% | 226 | $1K | |
| 99408 | <1% | 25 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 22 | $1K |
| Z6304 | <1% | 54 | $1K | |
| 85018 | <1% | 490 | $1K | |
| 90651 | <1% | 61 | $977.46 | |
| 83655 | <1% | 145 | $898.32 | |
| 90685 | <1% | 105 | $729.00 | |
| Z6204 | <1% | 34 | $625.27 | |
| Z6406 | <1% | 38 | $561.69 | |
| 90677 | <1% | 75 | $536.12 | |
| Z6400 | <1% | 18 | $445.10 | |
| 90744 | <1% | 44 | $410.67 | |
| 90734 | <1% | 28 | $353.09 | |
| 88142 | <1% | 181 | $351.50 | |
| 90715 | <1% | 40 | $288.51 | |
| 90716 | <1% | 26 | $225.00 | |
| 90696 | <1% | 12 | $36.00 | |
| 1160F | 0% | 786 | $0.00 | |
| 59425 | 0% | 64 | $0.00 | |
| 3008F | 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 officialDENICOLA, GREGG (CEO)