Physician
Gateway Medical Group of San Diego
Gateway Medical Group of San Diego was paid $252K by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoGATEWAY MEDICAL GROUP OF SAN DIEGO
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
33aNPI1568400455assigned 06/03/2006
33bProvider typeFamily Medicine Physician
28Total paid$252K
24GClaims138,938
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#387 of 2,511
Median peer was paid$13K
This provider vs. median20×
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 | 17,134 | $65K | |
| 2019 | 19,936 | $32K | |
| 2020 | 12,673 | $25K | |
| 2021 | 16,665 | $30K | |
| 2022 | 23,799 | $39K | |
| 2023 | 31,761 | $31K | |
| 2024incomplete | 16,970 | $30K |
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 | 43% | 28,757 | 27,086 | $107K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 17,527 | 16,518 | $44K |
| 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 | 11% | 2,981 | 2,965 | $28K |
| G9920 | Screening performed and negative | 11% | 4,467 | 4,458 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 5,729 | 5,254 | $12K |
| 97802 | 2.5% | 10,506 | 10,204 | $6K | |
| 90686 | 1.7% | 2,876 | 2,862 | $4K | |
| 90651 | 1.6% | 319 | 315 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 915 | 912 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 285 | 283 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 760 | 755 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 252 | 250 | $2K |
56 more codes
| 90656 | <1% | 66 | $2K | |
| 99497 | <1% | 261 | $1K | |
| 92551 | <1% | 1,086 | $924.46 | |
| 96127 | <1% | 4,706 | $885.73 | |
| 1111F | <1% | 2,501 | $821.30 | |
| 97803 | <1% | 2,139 | $638.50 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 226 | $527.57 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 44 | $506.04 |
| 90670 | <1% | 129 | $410.85 | |
| 85018 | <1% | 2,201 | $369.98 | |
| 90734 | <1% | 332 | $346.36 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 71 | $340.80 |
| 1160F | <1% | 10,068 | $304.98 | |
| 92552 | <1% | 1,606 | $213.90 | |
| 99173 | <1% | 2,817 | $211.92 | |
| 90685 | <1% | 16 | $169.17 | |
| 90698 | <1% | 92 | $150.75 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 72 | $143.26 |
| 81002 | <1% | 245 | $123.68 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 55 | $87.00 |
| 1159F | <1% | 1,736 | $87.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,799 | $80.14 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,165 | $70.88 |
| 90688 | <1% | 13 | $49.88 | |
| 90707 | <1% | 13 | $36.00 | |
| 90716 | <1% | 25 | $36.00 | |
| 99000 | <1% | 559 | $35.10 | |
| 3008F | <1% | 1,797 | $29.01 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | <1% | 399 | $29.00 |
| 3078F | <1% | 4,924 | $29.00 | |
| 93000 | <1% | 12 | $25.83 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,770 | $25.36 |
| 3074F | <1% | 5,179 | $24.99 | |
| 90620 | <1% | 176 | $18.00 | |
| 82947 | <1% | 62 | $12.54 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 489 | $3.90 |
| 96160 | <1% | 4,164 | $0.11 | |
| 3725F | 0% | 611 | $0.00 | |
| 3077F | 0% | 394 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 90461 | 0% | 257 | $0.00 | |
| 83655 | 0% | 44 | $0.00 | |
| 2028F | 0% | 13 | $0.00 | |
| 90715 | 0% | 15 | $0.00 | |
| 3079F | 0% | 1,516 | $0.00 | |
| 3075F | 0% | 908 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 3,083 | $0.00 |
| 3049F | 0% | 52 | $0.00 | |
| 1157F | 0% | 80 | $0.00 | |
| 3044F | 0% | 24 | $0.00 | |
| 99385 | 0% | 39 | $0.00 | |
| 1125F | 0% | 157 | $0.00 | |
| 3048F | 0% | 138 | $0.00 | |
| 3080F | 0% | 115 | $0.00 | |
| 1126F | 0% | 78 | $0.00 | |
| 1220F | 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 officialSANZONE, RONALD (PRESIDENT)