Physician
Rancho Family Medical Group, INC.
Rancho Family Medical Group, INC. was paid $484K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is 59425, — 76% of everything it billed.
33Billing provider infoRANCHO FAMILY MEDICAL GROUP, INC.
TEMECULA, CA 92590
TEMECULA, CA 92590
33aNPI1598791600assigned 06/23/2006
33bProvider typeFamily Medicine Physician
28Total paid$484K
24GClaims12,640
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#266 of 2,511
Median peer was paid$13K
This provider vs. median38×
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 | 777 | $2K | |
| 2019 | 516 | $909.44 | |
| 2020 | 389 | $718.59 | |
| 2021 | 140 | $217.47 | |
| 2022 | 570 | $25K | |
| 2023 | 4,709 | $227K | |
| 2024incomplete | 5,539 | $229K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 76% | 6,306 | 4,774 | $366K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 2,336 | 2,207 | $30K |
| 76813 | 3.6% | 168 | 167 | $17K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 2.8% | 203 | 198 | $14K |
| 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 | 2.0% | 568 | 544 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 66 | 66 | $8K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.5% | 112 | 90 | $7K |
| 99243 | 1.4% | 98 | 98 | $7K | |
| 99490 | Ccm add 20min | 1.3% | 770 | 769 | $6K |
| 59025 | Fetal non-stress test | <1% | 160 | 102 | $4K |
| 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% | 48 | 48 | $3K |
| 99307 | <1% | 767 | 618 | $3K |
12 more codes
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 31 | $2K |
| 76801 | <1% | 27 | $2K | |
| 99454 | <1% | 253 | $2K | |
| 59430 | <1% | 13 | $778.44 | |
| 99457 | <1% | 353 | $725.93 | |
| 99458 | <1% | 172 | $452.51 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 56 | $209.37 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | <1% | 14 | $115.43 |
| 99000 | <1% | 61 | $68.21 | |
| 90674 | 0% | 12 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 33 | $0.00 |
| 3078F | 0% | 13 | $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 officialCAIN, DENISE (VP REVENUE CYCLE)
Parent organizationRANCHO FAMILY MEDICAL GROUP
| Provider | Location | Paid |
|---|---|---|
| Primary Medical Group of Ventura County INC | Ventura, CA | $36K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.