Tri-City Primary Care Medical Group, INC

Tri-City Primary Care Medical Group, INC was paid $11K by Medicaid between Jan 2019 and Nov 2023, across 4 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 83% of everything it billed.

33Billing provider infoTRI-CITY PRIMARY CARE MEDICAL GROUP, INC
VISTA, CA 92081

33aNPI1518364165assigned 11/25/2014

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$11K

24GClaims396

24DCodes billed4

24AFirst – last monthJan 2019 – Nov 2023

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in California

Rank by total paid#90 of 158

Median peer was paid$17K

This provider vs. median0.6×

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
2019	41	$1K
2020	58	$513.02
2021	60	$1K
2022	76	$2K
2023	161	$6K

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	83%	331	299	$9K
99497		6.5%	25	25	$706.84
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	6.1%	28	25	$661.93
99316		4.7%	12	12	$510.02

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 officialDOLPHIN, DEANINE (BILLING & COLLECTIONS MANAGER)