Sammarian Medical Group, INC

Sammarian Medical Group, INC was paid $355K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 54% of everything it billed.

33Billing provider infoSAMMARIAN MEDICAL GROUP, INC
FRESNO, CA 93720

33aNPI1518103753assigned 12/17/2008

33bProvider typeInternal Medicine Physician

28Total paid$355K

24GClaims20,133

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#299 of 2,679

Median peer was paid$13K

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	2,642	$71K
2019	2,183	$55K
2020	2,536	$66K
2021	2,547	$57K
2022	2,558	$40K
2023	3,268	$33K
2024incomplete	4,399	$32K

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	54%	6,392	1,579	$192K
99308	Subsequent nursing facility care, per day, straightforward	28%	6,630	5,906	$101K
99497		6.4%	1,699	1,664	$23K
99306	Prolong nursin fac eval 15m	6.1%	803	780	$21K
99307		3.6%	1,893	1,836	$13K
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	<1%	1,401	1,372	$3K
99315		<1%	47	45	$1K
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%	617	586	$678.84
99304		<1%	55	55	$601.02
90688		<1%	33	33	$48.74
96127		<1%	342	339	$26.95
99401		<1%	27	27	$12.94

4 more codes

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	0%	137	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	31	$0.00
99402		0%	13	$0.00
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	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 officialSAMS, O'KEY (OWNER)