Physician
Scripps Clinic Medical Group, INC
Scripps Clinic Medical Group, INC was paid $5.75M by Medicaid between Jan 2018 and Dec 2024, across 90 billing codes. Its largest line is 74177, Computed tomography, abdomen and pelvis; with contrast material — 19% of everything it billed.
33Billing provider infoSCRIPPS CLINIC MEDICAL GROUP, INC
LA JOLLA, CA 92037
LA JOLLA, CA 92037
33aNPI1538297726assigned 03/01/2007
33bProvider typeTransplant Surgery Physician
28Total paid$5.75M
24GClaims213,880
24DCodes billed90
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Transplant Surgery Physician providers in California
Rank by total paid#1 of 16
Median peer was paid$73K
This provider vs. median78×
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 | 23,282 | $365K | |
| 2019 | 24,033 | $477K | |
| 2020 | 26,028 | $606K | |
| 2021 | 33,832 | $964K | |
| 2022 | 33,552 | $983K | |
| 2023 | 37,171 | $1.19M | |
| 2024incomplete | 35,982 | $1.17M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 19% | 15,326 | 15,165 | $1.11M |
| 70450 | Computed tomography, head or brain; without contrast material | 15% | 27,908 | 27,000 | $844K |
| 71045 | Radiologic examination, chest; single view | 12% | 95,301 | 84,725 | $684K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | 11% | 9,297 | 9,167 | $620K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 9.6% | 4,052 | 4,001 | $550K |
| 76819 | Fetal biophysical profile; without non-stress testing | 5.9% | 5,292 | 4,872 | $339K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.1% | 6,324 | 6,028 | $295K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.5% | 1,745 | 864 | $202K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.1% | 3,335 | 1,981 | $120K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 2,738 | 1,402 | $119K |
| 71046 | Radiologic examination, chest; 2 views | 2.0% | 14,082 | 13,911 | $116K |
| 72125 | Computed tomography, cervical spine; without contrast material | 1.8% | 3,183 | 3,131 | $105K |
78 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.2% | 1,674 | $68K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 1.1% | 823 | $61K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.0% | 1,073 | $58K |
| 93970 | 1.0% | 1,347 | $58K | |
| 99223 | Prolong inpt eval add15 m | <1% | 517 | $41K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,216 | $37K |
| 76801 | <1% | 780 | $37K | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 1,843 | $34K |
| 76813 | <1% | 313 | $30K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 418 | $30K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 851 | $20K |
| 70496 | <1% | 246 | $17K | |
| 70498 | <1% | 234 | $13K | |
| 99255 | <1% | 168 | $13K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 157 | $10K |
| 73630 | <1% | 1,425 | $10K | |
| 74018 | <1% | 1,338 | $9K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,488 | $8K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 314 | $8K |
| 80053 | Comprehensive metabolic panel | <1% | 1,799 | $7K |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 272 | $6K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 126 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 188 | $5K |
| 73562 | <1% | 814 | $5K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 163 | $5K |
| 71250 | <1% | 164 | $5K | |
| 76830 | Ultrasound, transvaginal | <1% | 196 | $4K |
| 73610 | <1% | 601 | $4K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 76 | $4K |
| 93975 | <1% | 40 | $3K | |
| 73130 | <1% | 463 | $3K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 58 | $3K |
| 76820 | <1% | 71 | $2K | |
| 73030 | <1% | 324 | $2K | |
| 93971 | <1% | 162 | $2K | |
| 76641 | <1% | 58 | $2K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 26 | $2K |
| 77066 | Tomosynthesis, mammo | <1% | 41 | $1K |
| 70486 | <1% | 51 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 36 | $1K |
| 88304 | <1% | 53 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 212 | $1K |
| 85060 | <1% | 90 | $978.57 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 18 | $898.52 |
| 99310 | Prolong nursin fac eval 15m | <1% | 29 | $741.94 |
| 73110 | <1% | 113 | $686.79 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 12 | $676.61 |
| 72100 | <1% | 63 | $611.38 | |
| 99242 | <1% | 12 | $586.88 | |
| 99152 | <1% | 13 | $531.57 | |
| 80061 | Lipid panel | <1% | 109 | $517.82 |
| 76642 | <1% | 17 | $488.87 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 778 | $412.39 |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 12 | $411.22 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 111 | $384.03 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 116 | $314.81 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 55 | $225.37 |
| 86334 | <1% | 51 | $188.11 | |
| 84165 | <1% | 100 | $180.04 | |
| 74022 | <1% | 17 | $163.99 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 45 | $158.29 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 38 | $153.81 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 12 | $141.86 |
| 76937 | <1% | 13 | $122.76 | |
| 73502 | <1% | 15 | $114.70 | |
| 77001 | <1% | 12 | $111.75 | |
| 72040 | <1% | 14 | $111.49 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $104.44 |
| 73590 | <1% | 12 | $76.51 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 12 | $64.35 |
| 81001 | <1% | 55 | $64.02 | |
| 84484 | <1% | 25 | $58.97 | |
| G0008 | Administration of influenza virus vaccine | <1% | 15 | $22.87 |
| 83690 | <1% | 18 | $22.49 | |
| 85610 | <1% | 25 | $15.22 | |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 0% | 13 | $0.00 |
| 3008F | 0% | 14 | $0.00 | |
| 90662 | 0% | 12 | $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 officialWALKER, RICHARD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Richard F Walker JR MD Nephrology Associates PA | Panama City, FL | $200K |
| Psychopharmacology Consultant LLC | Rochester, MN | $84K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.