Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Chest and Critical Care Consultants a Medical Group

Chest and Critical Care Consultants a Medical Group was paid $14.38M by Medicaid between Jan 2018 and Dec 2024, across 88 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 30% of everything it billed.

33Billing provider infoCHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP
ANAHEIM, CA 92801
33aNPI1598852717assigned 10/08/2006
28Total paid$14.38M
24GClaims353,791
24DCodes billed88
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in California

Rank by total paid#2 of 136
Median peer was paid$38K
This provider vs. median381×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201849,109$2.67M
201947,580$2.28M
202044,894$1.39M
202147,415$1.53M
202245,083$1.55M
202359,798$2.09M
2024incomplete59,912$2.87M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 30% 136,771 35,077 $4.36M
99223 Prolong inpt eval add15 m 17% 22,707 21,622 $2.39M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 12% 19,294 4,704 $1.65M
99222 Initial hospital care, per day, moderate complexity 7.2% 13,537 13,075 $1.03M
99238 Hospital discharge day management, 30 minutes or less 5.4% 13,400 12,920 $780K
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 5.1% 15,765 14,990 $730K
99239 Hospital discharge day management, more than 30 minutes 4.9% 10,070 9,810 $705K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.2% 24,151 6,476 $602K
95811 2.4% 1,107 1,097 $347K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1.6% 724 723 $226K
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 1.5% 3,250 3,199 $223K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1.3% 8,869 3,841 $185K
76 more codes
99213 Doctor's office visit, returning patient (routine) 1.2% 7,319 $174K
99221 1.0% 2,560 $150K
94060 <1% 1,980 $126K
99215 Doctor's office visit, returning patient (complex) <1% 816 $84K
94727 <1% 1,335 $56K
99308 Subsequent nursing facility care, per day, straightforward <1% 5,025 $56K
94726 <1% 973 $53K
94729 <1% 1,531 $52K
94760 <1% 14,627 $50K
99306 Prolong nursin fac eval 15m <1% 996 $42K
99285 Emergency room visit (most serious) <1% 296 $42K
99203 Doctor's office visit, new patient (routine) <1% 906 $39K
99310 Prolong nursin fac eval 15m <1% 1,410 $37K
99283 Emergency room visit (moderate) <1% 248 $30K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 3,223 $25K
94664 <1% 1,217 $16K
99235 <1% 119 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 992 $11K
94761 <1% 1,770 $11K
94010 <1% 457 $10K
99205 Prolong outpt/office vis <1% 115 $9K
94750 <1% 435 $8K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 708 $7K
90688 <1% 235 $5K
99385 <1% 58 $4K
99217 <1% 84 $2K
99000 <1% 103 $2K
99386 <1% 25 $2K
90674 <1% 56 $2K
99219 <1% 44 $2K
99334 <1% 448 $1K
99442 <1% 48 $1K
99218 <1% 48 $1K
1126F <1% 3,050 $1K
1036F <1% 3,422 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 16 $1K
1159F <1% 4,984 $969.97
1160F <1% 4,949 $968.76
90682 <1% 15 $867.45
3074F <1% 2,546 $733.87
G8783 Normal blood pressure reading documented, follow-up not required <1% 4,329 $690.97
99254 <1% 12 $658.24
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 50 $601.70
0521F <1% 566 $549.26
93000 <1% 26 $515.40
3078F <1% 2,019 $514.59
90756 <1% 13 $429.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 32 $397.45
90686 <1% 16 $389.70
94660 <1% 62 $281.16
1030F <1% 121 $246.94
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 12 $203.20
1090F <1% 85 $140.90
99401 <1% 106 $121.48
3075F <1% 296 $120.98
1125F <1% 414 $99.89
4010F <1% 195 $50.40
99304 <1% 13 $47.25
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 2,703 $27.56
3079F <1% 904 $5.33
3077F 0% 305 $0.00
1158F 0% 52 $0.00
4013F 0% 440 $0.00
1100F 0% 74 $0.00
3288F 0% 27 $0.00
1003F 0% 13 $0.00
99336 0% 16 $0.00
1000F 0% 624 $0.00
1220F 0% 219 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 266 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 0% 602 $0.00
3080F 0% 227 $0.00
99335 0% 22 $0.00
1170F 0% 60 $0.00
4008F 0% 24 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 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.

From NPPES

Who's on the registration

Authorized officialSAVANI, DEVANG (SR. MANAGING PARTNER)
Parent organizationCHEST AND CRITICAL CARE CONSULTANTS A MEDICAL GROUP