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.
LODI, CA 95240
Next to other Nurse Practitioner providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,250 | $671K | |
| 2019 | 34,003 | $1.23M | |
| 2020 | 31,085 | $825K | |
| 2021 | 40,304 | $810K | |
| 2022 | 32,177 | $694K | |
| 2023 | 34,533 | $687K | |
| 2024incomplete | 23,644 | $503K |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Emergency Physicians of Mid-America, P.C. | Oklahoma City, OK | $29.23M |
| Team Physicians of Northern California Medical Group INC | Pleasanton, CA | $26.82M |
| San Francisco Physicians International Medical Group, INC | San Ramon, CA | $19.24M |
| South Central Emergency Services PC | Stillwater, OK | $12.61M |
| Emergency Professionals of Colorado, PC | Greeley, CO | $10.65M |
| Team Physicians of Southern California Medical Group, INC. | Oceanside, CA | $9.33M |
| Crum,stefanko and Jones LTD | Elko, NV | $2.83M |
| Chase Dennis Emergency Medical Group INC | Santa Rosa, CA | $2.72M |
| Team Physicians of Nevada-Scherr, P.C. | Pleasanton, CA | $2.65M |
| Sierra Er Department Physicians Medical Group INC. | Susanville, CA | $1.50M |
| West Emergency Services, LLC | Price, UT | $808K |
| Emergency Services of Kansas, P.A. | Pleasanton, CA | $772K |
| Kansas Emergency Services PA | Topeka, KS | $195K |
| Oklahoma Emergency Services PC | Lawton, OK | $105K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.