Managed care
Mid-Cities Physicians Ipa
Mid-Cities Physicians Ipa was paid $21K by Medicaid between Jan 2018 and Sep 2018, across 47 billing codes. Its largest line is 99283, emergency room visit (moderate) — 30% of everything it billed.
33Billing provider infoMID-CITIES PHYSICIANS IPA
ENCINO, CA 91436
ENCINO, CA 91436
33aNPI1609099860assigned 04/10/2007
33bProvider typeHealth Maintenance Organization
28Total paid$21K
24GClaims8,202
24DCodes billed47
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#92 of 151
Median peer was paid$59K
This provider vs. median0.4×
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 | 8,202 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 30% | 135 | 129 | $6K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 22% | 69 | 63 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,371 | 1,205 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 84 | 83 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.4% | 34 | 31 | $2K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 5.4% | 132 | 129 | $1K |
| 80053 | Comprehensive metabolic panel | 1.2% | 574 | 550 | $240.45 |
| 71045 | Radiologic examination, chest; single view | <1% | 20 | 12 | $143.45 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 185 | 167 | $128.70 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 26 | 16 | $68.75 |
| 81001 | <1% | 407 | 394 | $52.19 | |
| 92499 | <1% | 46 | 46 | $50.76 |
35 more codes
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 345 | $38.43 |
| 92551 | <1% | 237 | $30.60 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 350 | $26.67 |
| 80076 | <1% | 39 | $24.43 | |
| 85027 | <1% | 319 | $8.01 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 499 | $7.80 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 473 | $6.24 |
| 86592 | <1% | 72 | $0.77 | |
| 86580 | <1% | 144 | $0.01 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 131 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 228 | $0.00 |
| 87088 | 0% | 179 | $0.00 | |
| 86803 | 0% | 68 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 155 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 172 | $0.00 |
| 81000 | 0% | 77 | $0.00 | |
| 85018 | 0% | 162 | $0.00 | |
| 85652 | 0% | 30 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 45 | $0.00 |
| 90688 | 0% | 13 | $0.00 | |
| 84436 | 0% | 31 | $0.00 | |
| 82947 | 0% | 104 | $0.00 | |
| 80061 | Lipid panel | 0% | 538 | $0.00 |
| 90461 | 0% | 60 | $0.00 | |
| 83655 | 0% | 156 | $0.00 | |
| 99173 | 0% | 25 | $0.00 | |
| 82465 | 0% | 87 | $0.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $0.00 |
| 84439 | 0% | 54 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 192 | $0.00 |
| 82248 | 0% | 59 | $0.00 | |
| 92081 | 0% | 20 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 84550 | 0% | 13 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 17 | $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 officialLEE, HYUK (GROUP PRESIDENT)