Caceres Medical Group, INC
Caceres Medical Group, INC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoCACERES MEDICAL GROUP, INC
BUENA PARK, CA 90620
BUENA PARK, CA 90620
33aNPI1558437541assigned 11/28/2006
33bProvider typeLegal Medicine
28Total paid$1.22M
24GClaims38,980
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Legal Medicine providers in California
Rank by total paid#4 of 39
Median peer was paid$17K
This provider vs. median70×
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 | 8,206 | $173K | |
| 2019 | 2,404 | $39K | |
| 2020 | 3,088 | $25K | |
| 2021 | 3,432 | $32K | |
| 2022 | 4,250 | $46K | |
| 2023 | 6,175 | $169K | |
| 2024incomplete | 11,425 | $736K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 13,579 | 11,326 | $457K |
| G0166 | External counterpulsation, per treatment session | 19% | 7,451 | 651 | $233K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 12% | 1,075 | 1,071 | $149K |
| 93000 | 11% | 9,329 | 8,658 | $133K | |
| 92971 | 9.5% | 1,110 | 108 | $115K | |
| 93351 | 3.5% | 398 | 397 | $43K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.6% | 165 | 165 | $20K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 432 | 422 | $17K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 767 | 756 | $11K |
| 99490 | Ccm add 20min | <1% | 1,344 | 1,343 | $11K |
| 71045 | Radiologic examination, chest; single view | <1% | 543 | 533 | $8K |
| 93458 | <1% | 13 | 13 | $4K |
22 more codes
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 348 | $3K |
| 99439 | <1% | 491 | $2K | |
| 99000 | <1% | 562 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 30 | $2K |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 30 | $2K |
| 82607 | <1% | 212 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 267 | $1K |
| G0179 | Physician or allowed practitioner re-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 | <1% | 104 | $963.24 |
| 93925 | <1% | 12 | $726.50 | |
| G0008 | Administration of influenza virus vaccine | <1% | 150 | $409.17 |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | <1% | 71 | $381.40 |
| 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 | <1% | 12 | $282.69 |
| 81002 | <1% | 95 | $211.05 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 115 | $168.88 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 29 | $150.51 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | $112.60 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 35 | $61.75 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 31 | $27.52 |
| 90674 | <1% | 21 | $7.94 | |
| 90686 | <1% | 62 | $7.38 | |
| 93880 | 0% | 29 | $0.00 | |
| 90688 | 0% | 33 | $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 officialCACERES, JOSE (CEO)