Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Lodi › NPI 1578958450
NP / PA

Clinic Services of California Medical Group INC

Clinic Services of California Medical Group INC was paid $5.42M by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 67% of everything it billed.

33Billing provider infoCLINIC SERVICES OF CALIFORNIA MEDICAL GROUP INC
LODI, CA 95240
33aNPI1578958450assigned 03/30/2015
33bProvider typeNurse Practitioner
28Total paid$5.42M
24GClaims212,996
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nurse Practitioner providers in California

Rank by total paid#2 of 84
Median peer was paid$4K
This provider vs. median1,369×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, KRISTOPHER controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
201817,250$671K
201934,003$1.23M
202031,085$825K
202140,304$810K
202232,177$694K
202334,533$687K
2024incomplete23,644$503K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 67% 124,598 118,982 $3.60M
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 12% 11,172 11,131 $662K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.3% 9,405 9,331 $503K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.9% 28,550 27,535 $481K
99451 <1% 1,471 1,454 $51K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 618 612 $35K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,495 2,415 $26K
94060 <1% 739 738 $10K
99442 <1% 274 272 $9K
99205 Prolong outpt/office vis <1% 96 96 $9K
99497 <1% 153 153 $8K
99498 <1% 148 146 $7K
35 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 136 $3K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 259 $3K
99443 <1% 43 $2K
94727 <1% 329 $2K
94729 <1% 344 $2K
69209 <1% 111 $895.40
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 47 $336.60
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 16 $129.90
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 10,019 $0.00
3079F 0% 3,523 $0.00
3074F 0% 1,301 $0.00
3080F 0% 517 $0.00
1036F 0% 175 $0.00
G9008 Coordinated care fee, physician coordinated care oversight services 0% 3,715 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 175 $0.00
3044F 0% 543 $0.00
G0463 Hospital outpatient clinic visit for assessment and management of a patient 0% 1,268 $0.00
3075F 0% 469 $0.00
3351F 0% 96 $0.00
3353F 0% 21 $0.00
3352F 0% 13 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 0% 47 $0.00
3052F 0% 30 $0.00
G9906 Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) 0% 13 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 2,266 $0.00
3077F 0% 1,500 $0.00
3078F 0% 3,809 $0.00
3046F 0% 424 $0.00
99408 0% 1,410 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 165 $0.00
G0029 Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period 0% 29 $0.00
3051F 0% 152 $0.00
4004F 0% 41 $0.00
3725F 0% 259 $0.00
99091 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 officialSMITH, KRISTOPHER (CFO)
Same official

Other billing entities under SMITH, KRISTOPHER

Full network →

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