Clinic
Newstart Medical Group INC
Newstart Medical Group INC was paid $39.28M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoNEWSTART MEDICAL GROUP INC
WEIMAR, CA 95736
WEIMAR, CA 95736
33aNPI1588072698assigned 08/01/2014
33bProvider typePrimary Care Clinic/Center
28Total paid$39.28M
24GClaims529,833
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#5 of 422
Median peer was paid$25K
This provider vs. median1,599×
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 | 22,999 | $3.75M | |
| 2019 | 39,604 | $3.62M | |
| 2020 | 96,413 | $5.10M | |
| 2021 | 98,296 | $6.61M | |
| 2022 | 85,036 | $5.97M | |
| 2023 | 97,969 | $7.04M | |
| 2024incomplete | 89,516 | $7.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 135,050 | 95,956 | $25.05M |
| 00003 | Internal/system code - not a standard HCPCS code | 32% | 55,218 | 44,160 | $12.68M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.7% | 31,327 | 10,428 | $666K |
| 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% | 86,769 | 45,553 | $291K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 2,980 | 1,965 | $241K |
| 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% | 43,946 | 24,517 | $206K |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit | <1% | 654 | 267 | $67K |
| 98940 | <1% | 11,507 | 5,197 | $36K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 507 | 225 | $14K |
| 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% | 511 | 288 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,557 | 4,790 | $9K |
| 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% | 284 | 183 | $4K |
26 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 277 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 460 | $1K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 184 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 220 | $1K |
| Q3014 | Telehealth originating site facility fee | <1% | 508 | $712.63 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 464 | $712.50 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 408 | $490.22 |
| 93000 | <1% | 45 | $420.00 | |
| 81003 | <1% | 220 | $103.88 | |
| 81025 | <1% | 85 | $78.40 | |
| 3077F | 0% | 4,488 | $0.00 | |
| 3078F | 0% | 59,261 | $0.00 | |
| 20552 | 0% | 188 | $0.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 0% | 661 | $0.00 |
| 92552 | 0% | 113 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 61 | $0.00 |
| 90661 | 0% | 73 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 28 | $0.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 18 | $0.00 |
| 3079F | 0% | 12,573 | $0.00 | |
| 3074F | 0% | 62,114 | $0.00 | |
| 3075F | 0% | 7,057 | $0.00 | |
| 3080F | 0% | 2,620 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 323 | $0.00 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 53 | $0.00 |
| 20610 | 0% | 21 | $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 officialGALLANT, ROGER (MEDICAL DIRECTOR)