Clinic
Santosh K Garg MD 'A Professional Medical Corporation'
Santosh K Garg MD 'A Professional Medical Corporation' was paid $320K by Medicaid between Jan 2018 and Dec 2019, across 30 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 23% of everything it billed.
33Billing provider infoSANTOSH K GARG MD 'A PROFESSIONAL MEDICAL CORPORATION'
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1598933293assigned 02/14/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$320K
24GClaims10,989
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#95 of 422
Median peer was paid$25K
This provider vs. median13×
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 | 8,121 | $166K | |
| 2019 | 2,868 | $154K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 23% | 935 | 866 | $74K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,727 | 2,345 | $67K |
| 99381 | 19% | 616 | 573 | $59K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 561 | 531 | $33K |
| 99460 | 6.0% | 455 | 454 | $19K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 347 | 335 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 193 | 170 | $10K |
| 99462 | 2.5% | 445 | 326 | $8K | |
| 90670 | 1.9% | 782 | 778 | $6K | |
| 90648 | 1.9% | 797 | 792 | $6K | |
| 90723 | 1.6% | 652 | 649 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 624 | 326 | $5K |
18 more codes
| 92552 | 1.4% | 368 | $5K | |
| 90681 | 1.1% | 438 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $1K |
| 90633 | <1% | 216 | $1K | |
| 99173 | <1% | 220 | $729.92 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 23 | $524.00 |
| 90657 | <1% | 69 | $342.00 | |
| 92551 | <1% | 33 | $333.30 | |
| 90700 | <1% | 65 | $216.00 | |
| 90658 | <1% | 71 | $189.00 | |
| 90716 | <1% | 30 | $126.00 | |
| 90707 | <1% | 28 | $108.00 | |
| 90710 | <1% | 12 | $108.00 | |
| 90649 | <1% | 16 | $18.00 | |
| 96160 | 0% | 121 | $0.00 | |
| 92081 | 0% | 31 | $0.00 | |
| 87070 | 0% | 70 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 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 officialGARG, SANTOSH (PRESIDENT)