Physician
Cucamonga Valley Medical Group, INC.
Cucamonga Valley Medical Group, INC. was paid $67K by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoCUCAMONGA VALLEY MEDICAL GROUP, INC.
FONTANA, CA 92336
FONTANA, CA 92336
33aNPI1497783229assigned 06/29/2006
33bProvider typeFamily Medicine Physician
28Total paid$67K
24GClaims367,189
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#735 of 2,511
Median peer was paid$13K
This provider vs. median5.2×
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 | 22,975 | $29K | |
| 2019 | 38,624 | $11K | |
| 2020 | 30,406 | $9K | |
| 2021 | 42,715 | $5K | |
| 2022 | 55,933 | $8K | |
| 2023 | 81,074 | $2K | |
| 2024incomplete | 95,462 | $3K |
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 | 32% | 49,384 | 47,362 | $22K |
| 93000 | 19% | 704 | 700 | $13K | |
| 90715 | 19% | 419 | 411 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 18% | 4,121 | 4,102 | $12K |
| 90688 | 6.3% | 477 | 476 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 13,236 | 12,833 | $698.88 |
| 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% | 2,536 | 2,535 | $534.48 |
| 90673 | <1% | 90 | 90 | $489.20 | |
| 90686 | <1% | 550 | 549 | $316.06 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 124 | 124 | $290.00 |
| 99385 | <1% | 413 | 413 | $227.06 | |
| 99490 | Ccm add 20min | <1% | 48 | 39 | $186.26 |
70 more codes
| 94760 | <1% | 57,215 | $182.22 | |
| H0049 | Alcohol and/or drug screening | <1% | 10,739 | $112.50 |
| 86580 | <1% | 27 | $86.58 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 911 | $59.40 |
| 96127 | <1% | 2,759 | $42.89 | |
| 99174 | <1% | 2,183 | $30.85 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 445 | $27.71 |
| 82962 | <1% | 5,268 | $19.06 | |
| 98966 | <1% | 499 | $12.13 | |
| 99441 | <1% | 37 | $12.00 | |
| 90682 | <1% | 952 | $10.65 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 6,345 | $10.63 |
| 99173 | <1% | 11,132 | $9.20 | |
| D1330 | <1% | 290 | $9.00 | |
| 96160 | <1% | 3,116 | $4.05 | |
| 81002 | <1% | 2,075 | $3.41 | |
| 85018 | <1% | 1,041 | $2.05 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 2,724 | $1.01 |
| G9920 | Screening performed and negative | <1% | 745 | $0.54 |
| 3725F | 0% | 459 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 2,117 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 2,429 | $0.00 |
| 3078F | 0% | 9,230 | $0.00 | |
| 90461 | 0% | 486 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 20,949 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 1,430 | $0.00 |
| 1160F | 0% | 5,139 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 398 | $0.00 |
| 1159F | 0% | 10,207 | $0.00 | |
| 81025 | 0% | 452 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 295 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 360 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 766 | $0.00 |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 317 | $0.00 |
| 3077F | 0% | 147 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 29 | $0.00 |
| 99408 | 0% | 61 | $0.00 | |
| A4550 | Surgical trays | 0% | 71 | $0.00 |
| 99442 | 0% | 15 | $0.00 | |
| 0521F | 0% | 13 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 49 | $0.00 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 25 | $0.00 |
| 3051F | 0% | 12 | $0.00 | |
| 4004F | 0% | 12 | $0.00 | |
| 99421 | 0% | 13 | $0.00 | |
| 2000F | 0% | 31,005 | $0.00 | |
| 2001F | 0% | 31,161 | $0.00 | |
| G9273 | Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | 0% | 7,152 | $0.00 |
| 1111F | 0% | 2,411 | $0.00 | |
| 1126F | 0% | 8,014 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 9,371 | $0.00 |
| 3079F | 0% | 3,504 | $0.00 | |
| 1125F | 0% | 2,315 | $0.00 | |
| 3008F | 0% | 663 | $0.00 | |
| 36416 | 0% | 1,192 | $0.00 | |
| 3074F | 0% | 10,895 | $0.00 | |
| 1036F | 0% | 10,686 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 747 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 378 | $0.00 |
| 1000F | 0% | 291 | $0.00 | |
| 3075F | 0% | 1,388 | $0.00 | |
| 99000 | 0% | 230 | $0.00 | |
| 0001F | 0% | 7,232 | $0.00 | |
| 3044F | 0% | 1,468 | $0.00 | |
| 1034F | 0% | 156 | $0.00 | |
| 92551 | 0% | 492 | $0.00 | |
| D1310 | 0% | 299 | $0.00 | |
| 1170F | 0% | 14 | $0.00 | |
| 88142 | 0% | 26 | $0.00 | |
| 90733 | 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 officialSMART, KYLE (PRESIDENT)