San Marcos Medical Group INC.

San Marcos Medical Group INC. was paid $322K by Medicaid between Jan 2018 and Oct 2024, across 36 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 29% of everything it billed.

33Billing provider infoSAN MARCOS MEDICAL GROUP INC.
SAN BERNARDINO, CA 92410

33aNPI1548210297assigned 05/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$322K

24GClaims13,066

24DCodes billed36

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#338 of 2,511

Median peer was paid$13K

This provider vs. median25×

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	7,340	$174K
2019	3,168	$81K
2020	770	$28K
2021	283	$11K
2022	312	$7K
2023	667	$14K
2024incomplete	526	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	29%	1,842	1,622	$93K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	1,373	1,251	$80K
J3490	Unclassified drugs	12%	471	425	$40K
Z1034		12%	688	463	$38K
59425		8.4%	1,004	659	$27K
Z6410		1.6%	656	425	$5K
81025		1.5%	1,995	1,890	$5K
Z1032		1.4%	28	28	$5K
99000		1.4%	1,968	1,836	$5K
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%	172	161	$4K
Z6500		<1%	26	26	$3K
99384		<1%	28	14	$3K

24 more codes

S0197	Prenatal vitamins, 30-day supply	<1%	1,643	$2K
99383		<1%	15	$2K
Z6400		<1%	137	$2K
76801		<1%	30	$2K
92551		<1%	175	$2K
97802		<1%	54	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	72	$789.01
76816	Ultrasound, pregnant uterus, real time with image documentation, follow-up	<1%	12	$597.20
87491	Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe	<1%	17	$493.76
85018		<1%	278	$489.11
90633		<1%	38	$342.00
82947		<1%	76	$149.46
88141		<1%	13	$135.46
90716		<1%	14	$126.00
90734		<1%	14	$126.00
81002		<1%	77	$120.73
90744		<1%	12	$108.00
90715		<1%	12	$108.00
86580		<1%	13	$43.29
92557		<1%	14	$34.44
85014		<1%	14	$1.70
H1000	Prenatal care, at-risk assessment	0%	24	$0.00
H1003	Prenatal care, at-risk enhanced service; education	0%	18	$0.00
0502F		0%	43	$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 officialBALBIR, NATT (MD/PRESIDENT)

Same official

Other billing entities under BALBIR, NATT

Full network →

Provider	Location	Paid
San Marcos Medical Group INC.	Fontana, CA	$5.60M
San Marcos Medical Group INC.	San Bernardino, CA	$901K
San Marcos Medical Group INC.	Riverside, CA	$50K
San Marcos Medical Group INC	Fontana, CA	$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.