Physician
Quantum Healthcare Medical Associates INC.
Quantum Healthcare Medical Associates INC. was paid $14.98M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 36% of everything it billed.
33Billing provider infoQUANTUM HEALTHCARE MEDICAL ASSOCIATES INC.
COLTON, CA 92324
COLTON, CA 92324
33aNPI1568490597assigned 06/29/2006
33bProvider typeFamily Medicine Physician
28Total paid$14.98M
24GClaims415,591
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#32 of 2,511
Median peer was paid$13K
This provider vs. median1,166×
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 | 73,716 | $2.51M | |
| 2019 | 52,743 | $1.90M | |
| 2020 | 54,910 | $1.79M | |
| 2021 | 57,628 | $2.14M | |
| 2022 | 61,628 | $2.18M | |
| 2023 | 67,299 | $2.39M | |
| 2024incomplete | 47,667 | $2.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 36% | 164,899 | 60,652 | $5.38M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 32% | 158,953 | 50,516 | $4.79M |
| 99223 | Prolong inpt eval add15 m | 17% | 38,304 | 37,519 | $2.51M |
| 99239 | Hospital discharge day management, more than 30 minutes | 5.6% | 20,570 | 20,069 | $839K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.9% | 6,096 | 2,701 | $585K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.6% | 17,492 | 16,951 | $535K |
| 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 | 1.0% | 3,992 | 3,740 | $156K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,118 | 2,088 | $116K |
| 99221 | <1% | 1,499 | 1,478 | $35K | |
| 88141 | <1% | 176 | 99 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 223 | 216 | $5K |
| 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% | 74 | 72 | $5K |
13 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 66 | $4K |
| 94060 | <1% | 180 | $3K | |
| 99497 | <1% | 99 | $2K | |
| 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% | 175 | $2K |
| 99254 | <1% | 44 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 47 | $2K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 151 | $1K |
| 99220 | <1% | 153 | $1K | |
| 99217 | <1% | 180 | $930.54 | |
| 99226 | <1% | 20 | $464.40 | |
| 94729 | <1% | 54 | $339.77 | |
| 1123F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 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 officialMENDELSON, NEIL (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Solano Gateway Medical Group INC | Fairfield, CA | $8.04M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.