South Bay Ob/Gyn Medical Group, INC.
South Bay Ob/Gyn Medical Group, INC. was paid $3.93M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 59425, — 17% of everything it billed.
33Billing provider infoSOUTH BAY OB/GYN MEDICAL GROUP, INC.
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1588651426assigned 10/05/2005
33bProvider typeSpecialist
28Total paid$3.93M
24GClaims62,635
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#64 of 1,230
Median peer was paid$51K
This provider vs. median77×
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 | 4,002 | $243K | |
| 2019 | 5,527 | $283K | |
| 2020 | 7,951 | $452K | |
| 2021 | 13,232 | $793K | |
| 2022 | 13,567 | $857K | |
| 2023 | 13,744 | $998K | |
| 2024incomplete | 4,612 | $306K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 17% | 11,434 | 7,099 | $678K | |
| 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 | 13% | 11,041 | 9,920 | $518K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 11% | 8,592 | 5,737 | $434K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 8.2% | 604 | 601 | $324K |
| 99235 | 8.1% | 3,322 | 1,564 | $320K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 6.2% | 3,164 | 3,049 | $244K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.8% | 1,512 | 1,483 | $229K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.6% | 1,263 | 1,253 | $143K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 3.2% | 2,054 | 1,315 | $124K |
| 99223 | Prolong inpt eval add15 m | 3.0% | 1,559 | 1,520 | $117K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 2.6% | 1,738 | 1,369 | $103K |
| Z1034 | 2.5% | 1,725 | 1,102 | $97K |
30 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 2.3% | 958 | $89K |
| 59514 | 2.2% | 178 | $86K | |
| 99205 | Prolong outpt/office vis | 1.7% | 795 | $66K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 558 | $58K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 1,483 | $53K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 3,726 | $51K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.2% | 1,164 | $45K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 224 | $24K |
| 59430 | <1% | 449 | $19K | |
| Z1032 | <1% | 148 | $18K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 195 | $18K |
| 99245 | <1% | 134 | $13K | |
| 58300 | <1% | 92 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 515 | $9K |
| 99451 | <1% | 317 | $8K | |
| 59025 | Fetal non-stress test | <1% | 646 | $8K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 168 | $6K |
| 81025 | <1% | 1,600 | $4K | |
| 99385 | <1% | 25 | $3K | |
| 96127 | <1% | 563 | $3K | |
| J1050 | Injection, medroxyprogesterone acetate, 1 mg | <1% | 25 | $3K |
| 90756 | <1% | 47 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 83 | $1K |
| 90715 | <1% | 36 | $1K | |
| 99000 | <1% | 416 | $1K | |
| 76830 | Ultrasound, transvaginal | <1% | 24 | $1K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 12 | $903.05 |
| 99243 | <1% | 12 | $647.96 | |
| J3490 | Unclassified drugs | <1% | 15 | $576.67 |
| 99441 | <1% | 19 | $300.00 |
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 officialTRACEY, JACQUIE (ADMINISTRATOR)