Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Uptimum Medical Group and Ipa INC

Uptimum Medical Group and Ipa INC was paid $430K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 43% of everything it billed.

33Billing provider infoUPTIMUM MEDICAL GROUP AND IPA INC
INGLEWOOD, CA 90305
33aNPI1568649226assigned 01/24/2008
33bProvider typeSpecialist
28Total paid$430K
24GClaims33,467
24DCodes billed39
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#302 of 1,230
Median peer was paid$51K
This provider vs. median8.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20184,667$69K
20194,449$58K
20203,902$50K
20214,718$58K
20224,768$68K
20235,141$66K
2024incomplete5,822$63K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99310 Prolong nursin fac eval 15m 43% 4,879 3,565 $183K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 10,730 8,293 $85K
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 17% 5,212 4,143 $75K
96367 4.4% 667 295 $19K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3.7% 3,680 2,979 $16K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.2% 493 131 $9K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1.7% 354 104 $7K
96361 Intravenous infusion, hydration; each additional hour 1.6% 627 159 $7K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1.1% 352 163 $5K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 226 216 $4K
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% 239 239 $4K
99490 Ccm add 20min <1% 359 359 $2K
27 more codes
80053 Comprehensive metabolic panel <1% 235 $2K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 561 $2K
99349 <1% 113 $1K
96415 <1% 77 $1K
99203 Doctor's office visit, new patient (routine) <1% 90 $982.88
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 136 $957.40
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 401 $856.99
99336 <1% 26 $736.31
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 160 $715.68
99439 <1% 276 $574.55
83735 <1% 130 $532.93
84100 <1% 181 $457.01
96375 Therapeutic injection; each additional sequential IV push <1% 60 $396.18
99318 <1% 13 $392.00
90658 <1% 29 $356.00
84550 <1% 137 $307.77
36415 Collection of venous blood by venipuncture <1% 2,042 $259.30
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 21 $175.20
82150 <1% 36 $109.25
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 321 $31.59
99406 <1% 14 $30.19
99000 <1% 17 $17.03
3074F 0% 236 $0.00
3079F 0% 18 $0.00
1125F 0% 12 $0.00
3078F 0% 255 $0.00
99442 0% 52 $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 officialWALLACE, OLUKEMI (DIRECTOR)