Physician
Pittsburg-Antioch Medical Group a Professional Corporation
Pittsburg-Antioch Medical Group a Professional Corporation was paid $5.35M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.
33Billing provider infoPITTSBURG-ANTIOCH MEDICAL GROUP A PROFESSIONAL CORPORATION
PITTSBURG, CA 94565
PITTSBURG, CA 94565
33aNPI1619922911assigned 05/24/2006
33bProvider typeEndocrinology, Diabetes & Metabolism Physician
28Total paid$5.35M
24GClaims58,267
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Endocrinology, Diabetes & Metabolism Physician providers in California
Rank by total paid#3 of 158
Median peer was paid$17K
This provider vs. median312×
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 | 9,396 | $750K | |
| 2019 | 9,600 | $725K | |
| 2020 | 7,190 | $610K | |
| 2021 | 8,440 | $797K | |
| 2022 | 7,976 | $777K | |
| 2023 | 8,396 | $888K | |
| 2024incomplete | 7,269 | $804K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 43% | 21,045 | 20,050 | $2.28M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 19% | 13,727 | 5,124 | $1.03M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 7,597 | 7,081 | $612K |
| 99223 | Prolong inpt eval add15 m | 8.3% | 3,333 | 3,206 | $444K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.2% | 1,738 | 1,721 | $226K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 3.1% | 1,098 | 420 | $167K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.1% | 2,950 | 1,265 | $164K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.8% | 2,232 | 2,214 | $149K |
| 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 | 2.1% | 998 | 994 | $114K |
| 99205 | Prolong outpt/office vis | 1.3% | 563 | 563 | $71K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 287 | 274 | $19K |
| 95251 | <1% | 514 | 497 | $17K |
17 more codes
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 608 | $16K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 278 | $11K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 84 | $6K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 391 | $6K |
| 99292 | <1% | 69 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 224 | $5K |
| 90674 | <1% | 119 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 32 | $2K |
| 99490 | Ccm add 20min | <1% | 154 | $921.80 |
| 90653 | <1% | 17 | $881.14 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $730.95 |
| 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% | 42 | $641.93 |
| 90756 | <1% | 29 | $615.33 | |
| 94664 | <1% | 50 | $536.63 | |
| 0011A | <1% | 27 | $473.00 | |
| 93018 | <1% | 36 | $190.89 | |
| 99406 | <1% | 13 | $150.75 |
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 officialDEL RIO, GERALD (PRESIDENT)