Managed care
Southern California Permanente Medical Group
Southern California Permanente Medical Group was paid $26K by Medicaid between Oct 2021 and Jul 2024, across 10 billing codes. Its largest line is 99441, — 62% of everything it billed.
33Billing provider infoSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
FONTANA, CA 92337
FONTANA, CA 92337
33aNPI1609446814assigned 06/29/2021
33bProvider typeHealth Maintenance Organization
28Total paid$26K
24GClaims33,025
24DCodes billed10
24AFirst – last monthOct 2021 – Jul 2024
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#90 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 | |
|---|---|---|---|
| 2021 | 1,264 | $81.00 | |
| 2022 | 11,964 | $6K | |
| 2023 | 19,440 | $18K | |
| 2024incomplete | 357 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99441 | 62% | 1,226 | 1,169 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 1,267 | 1,220 | $4K |
| 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 | 10% | 25,904 | 25,476 | $3K |
| 99442 | 7.3% | 116 | 108 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.3% | 3,445 | 3,397 | $600.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.2% | 434 | 418 | $560.00 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 494 | 491 | $125.00 |
| 99421 | <1% | 13 | 13 | $100.00 | |
| 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 | <1% | 69 | 68 | $37.12 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 57 | 57 | $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 officialNGUYEN, KHANG (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Hearts of ABA | Stanton, CA | $5.32M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.