Specialty Medical Group Central California INC. - Dept. of Cardiology

Specialty Medical Group Central California INC. - Dept. of Cardiology was paid $2K by Medicaid between Aug 2019 and Apr 2020, across 13 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 31% of everything it billed.

33Billing provider infoSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC. - DEPT. OF CARDIOLOGY
MADERA, CA 93636

33aNPI1588850952assigned 09/19/2007

33bProvider typePediatric Cardiology Physician

28Total paid$2K

24GClaims2,305

24DCodes billed13

24AFirst – last monthAug 2019 – Apr 2020

Compared with peers

Next to other Pediatric Cardiology Physician providers in California

Rank by total paid#37 of 45

Median peer was paid$120K

This provider vs. median0.0×

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
2019	1,267	$2K
2020	1,038	$545.59

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	31%	161	161	$689.98
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	21%	918	903	$461.40
93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	7.5%	17	17	$164.86
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	6.9%	14	14	$150.88
93321		5.5%	259	252	$120.69
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	4.9%	171	164	$107.00
99244	Office or other outpatient consultation, moderate to high complexity	4.9%	42	42	$106.58
93304		4.7%	179	176	$102.70
93320		4.2%	29	29	$91.90
99242		3.8%	43	43	$82.40
99243		3.6%	60	59	$77.90
93325		1.6%	399	388	$34.91

1 more codes

99213

Doctor's office visit, returning patient (routine)

$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 officialDIAZ, RALPH (PRESIDENT AND MEDICAL DIRECTOR)

Parent organizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA INC.

Same official

Other billing entities under DIAZ, RALPH

Full network →

Provider	Location	Paid
Specialty Medical Group Central California - Dept. of Nephrology	Madera, CA	$1K
Specialty Medical Group Central California INC - Dept of Oncology	Madera, CA	$1K
Specialty Medical Group Central California - Dept of Ophthalmology	Madera, CA	$821.11
Specialty Medical Group Central California - Dept of Surgery	Madera, CA	$565.71
Specialty Medical Group Central California INC - Dept of Endocrinology	Madera, CA	$511.42

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