Physician
Santa Lucia Medical Group, INC.
Santa Lucia Medical Group, INC. was paid $7.03M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 87502, Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets — 12% of everything it billed.
33Billing provider infoSANTA LUCIA MEDICAL GROUP, INC.
SALINAS, CA 93906
SALINAS, CA 93906
33aNPI1538264080assigned 09/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$7.03M
24GClaims342,262
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#57 of 2,511
Median peer was paid$13K
This provider vs. median548×
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 | 36,328 | $712K | |
| 2019 | 35,787 | $635K | |
| 2020 | 41,184 | $758K | |
| 2021 | 51,102 | $995K | |
| 2022 | 64,922 | $1.34M | |
| 2023 | 61,469 | $1.29M | |
| 2024incomplete | 51,470 | $1.30M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 12% | 10,998 | 10,730 | $812K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 6,981 | 6,974 | $721K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.6% | 8,129 | 8,124 | $678K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 6.3% | 9,329 | 8,877 | $440K |
| 92551 | 6.2% | 24,173 | 24,043 | $439K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 4,946 | 4,821 | $361K |
| G9920 | Screening performed and negative | 4.0% | 9,815 | 9,799 | $284K |
| 90686 | 3.5% | 13,572 | 13,493 | $248K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 3.5% | 5,672 | 5,657 | $247K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 3.1% | 8,905 | 8,887 | $217K |
| 90636 | 3.0% | 2,084 | 2,074 | $212K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 2,957 | 2,851 | $203K |
79 more codes
| 96127 | 1.8% | 18,392 | $129K | |
| 90715 | 1.8% | 4,990 | $128K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.8% | 1,168 | $128K |
| 90620 | 1.8% | 2,891 | $125K | |
| 90651 | 1.7% | 3,275 | $118K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.6% | 2,423 | $115K |
| 99406 | 1.6% | 7,294 | $112K | |
| 87634 | 1.5% | 1,894 | $106K | |
| 99173 | 1.4% | 19,817 | $99K | |
| 99188 | 1.4% | 3,669 | $98K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.4% | 86,897 | $97K |
| 98960 | 1.2% | 2,161 | $86K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | 1.1% | 670 | $78K |
| 91322 | <1% | 601 | $64K | |
| 90734 | <1% | 2,804 | $55K | |
| 90648 | <1% | 2,636 | $47K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 490 | $45K |
| 90670 | <1% | 2,153 | $42K | |
| 90716 | <1% | 1,931 | $42K | |
| 90707 | <1% | 1,823 | $38K | |
| 90633 | <1% | 1,763 | $31K | |
| 90480 | <1% | 782 | $30K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,070 | $29K |
| 90723 | <1% | 1,561 | $28K | |
| 85018 | <1% | 13,024 | $27K | |
| 90656 | <1% | 1,245 | $25K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 832 | $24K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 8,734 | $20K |
| 76830 | Ultrasound, transvaginal | <1% | 203 | $18K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 661 | $16K |
| 0124A | <1% | 283 | $11K | |
| 81025 | <1% | 3,804 | $11K | |
| 81000 | <1% | 4,586 | $10K | |
| 90677 | <1% | 408 | $9K | |
| 90696 | <1% | 461 | $8K | |
| 90674 | <1% | 393 | $8K | |
| 81002 | <1% | 4,290 | $8K | |
| 90681 | <1% | 430 | $8K | |
| 99385 | <1% | 200 | $7K | |
| 99381 | <1% | 79 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 763 | $6K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 201 | $6K |
| 0054A | <1% | 140 | $6K | |
| 91321 | <1% | 80 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 335 | $5K |
| 0064A | <1% | 122 | $5K | |
| 86580 | <1% | 1,088 | $5K | |
| 0011A | <1% | 112 | $4K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 125 | $4K |
| 99383 | <1% | 41 | $4K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,170 | $4K |
| 0012A | <1% | 104 | $4K | |
| 0134A | <1% | 88 | $4K | |
| 90700 | <1% | 170 | $3K | |
| 83655 | <1% | 252 | $3K | |
| 0072A | <1% | 62 | $2K | |
| 0071A | <1% | 51 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 48 | $1K |
| 99384 | <1% | 12 | $1K | |
| 76770 | <1% | 13 | $1K | |
| 90713 | <1% | 29 | $1K | |
| 0052A | <1% | 24 | $960.00 | |
| 0051A | <1% | 18 | $720.00 | |
| 99462 | <1% | 19 | $688.98 | |
| 0154A | <1% | 17 | $680.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 340 | $487.06 |
| 82962 | <1% | 261 | $481.51 | |
| 0111A | <1% | 12 | $480.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,313 | $231.65 |
| 93000 | <1% | 36 | $183.35 | |
| 69210 | <1% | 17 | $45.79 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 200 | $4.46 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $0.02 |
| 1036F | 0% | 9,546 | $0.00 | |
| 3074F | 0% | 17 | $0.00 | |
| 3079F | 0% | 32 | $0.00 | |
| 3077F | 0% | 14 | $0.00 | |
| 3078F | 0% | 16 | $0.00 | |
| 90461 | 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 officialCAMPBELL, MARTHA (OFFICE MANAGER)