Physician
Permanente Medical Group INC
Permanente Medical Group INC was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 127 billing codes. Its largest line is 99284, emergency room visit (serious) — 21% of everything it billed.
33Billing provider infoPERMANENTE MEDICAL GROUP INC
REDWOOD CITY, CA 94063
REDWOOD CITY, CA 94063
33aNPI1639252604assigned 10/23/2006
33bProvider typeOphthalmology Physician
28Total paid$4.45M
24GClaims190,645
24DCodes billed127
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in California
Rank by total paid#15 of 759
Median peer was paid$35K
This provider vs. median126×
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 | 14,688 | $165K | |
| 2019 | 23,878 | $57K | |
| 2020 | 15,417 | $70K | |
| 2021 | 23,556 | $439K | |
| 2022 | 23,969 | $357K | |
| 2023 | 38,732 | $268K | |
| 2024incomplete | 50,405 | $3.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 21% | 18,422 | 18,234 | $920K |
| 91320 | 10% | 4,801 | 4,800 | $463K | |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.4% | 3,381 | 3,351 | $285K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 6.1% | 12,029 | 11,923 | $270K |
| 90480 | 5.3% | 7,119 | 7,098 | $235K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.3% | 10,927 | 10,422 | $235K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 3.9% | 3,115 | 1,743 | $174K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 22,048 | 20,043 | $142K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.7% | 1,368 | 1,358 | $121K |
| G0008 | Administration of influenza virus vaccine | 2.5% | 20,588 | 20,554 | $113K |
| 0002A | 2.1% | 2,460 | 2,460 | $94K | |
| 0001A | 2.0% | 2,348 | 2,348 | $88K |
115 more codes
| 90962 | 1.7% | 136 | $77K | |
| 70450 | Computed tomography, head or brain; without contrast material | 1.7% | 1,941 | $76K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.6% | 1,743 | $73K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.6% | 2,564 | $72K |
| 90662 | 1.4% | 1,159 | $61K | |
| 71045 | Radiologic examination, chest; single view | 1.3% | 8,539 | $56K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 299 | $55K |
| 0124A | 1.1% | 1,675 | $49K | |
| 77080 | 1.1% | 1,357 | $48K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 3,249 | $44K |
| 0054A | <1% | 1,268 | $43K | |
| 0064A | <1% | 1,143 | $41K | |
| 92250 | <1% | 2,499 | $35K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 508 | $33K |
| 0072A | <1% | 877 | $32K | |
| 0012A | <1% | 800 | $31K | |
| 0071A | <1% | 838 | $31K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 155 | $29K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 684 | $27K |
| 0004A | <1% | 733 | $26K | |
| 92015 | Determination of refractive state | <1% | 5,051 | $26K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 183 | $25K |
| 0011A | <1% | 730 | $23K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,962 | $22K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,635 | $21K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 536 | $20K |
| 0134A | <1% | 717 | $18K | |
| 91322 | <1% | 193 | $17K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 351 | $17K |
| 92134 | <1% | 547 | $16K | |
| 90653 | <1% | 289 | $15K | |
| 90656 | <1% | 2,460 | $14K | |
| 90686 | <1% | 14,682 | $13K | |
| 0154A | <1% | 293 | $10K | |
| 97810 | <1% | 274 | $10K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 100 | $6K |
| 0073A | <1% | 167 | $6K | |
| 0031A | <1% | 140 | $5K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 301 | $5K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 155 | $5K |
| 0081A | <1% | 111 | $4K | |
| 91319 | <1% | 263 | $4K | |
| 91321 | <1% | 104 | $4K | |
| 86580 | <1% | 2,903 | $4K | |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 434 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 308 | $3K |
| 91318 | <1% | 246 | $3K | |
| 0052A | <1% | 85 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,881 | $3K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 323 | $3K |
| 99443 | <1% | 24 | $3K | |
| 0082A | <1% | 83 | $3K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 72 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 120 | $3K |
| 0111A | <1% | 82 | $2K | |
| 92002 | <1% | 175 | $2K | |
| 92133 | <1% | 65 | $2K | |
| 0112A | <1% | 66 | $2K | |
| 90682 | <1% | 1,394 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 1,062 | $2K |
| 0051A | <1% | 43 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 174 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $1K |
| 0003A | <1% | 38 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 233 | $1K |
| 70486 | <1% | 15 | $882.44 | |
| 93000 | <1% | 60 | $850.37 | |
| G0127 | Trimming of dystrophic nails, any number | <1% | 40 | $840.00 |
| 90674 | <1% | 204 | $792.16 | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 48 | $757.00 |
| 90694 | <1% | 468 | $747.00 | |
| 90677 | <1% | 25 | $595.62 | |
| 73030 | <1% | 26 | $581.08 | |
| 0083A | <1% | 49 | $581.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 66 | $565.58 |
| 73630 | <1% | 57 | $472.88 | |
| 72100 | <1% | 13 | $468.78 | |
| 73610 | <1% | 31 | $449.33 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 217 | $408.00 |
| 74018 | <1% | 14 | $335.06 | |
| 73560 | <1% | 28 | $314.80 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 12 | $298.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 27 | $283.00 |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 60 | $269.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 269 | $143.96 |
| 96156 | <1% | 27 | $139.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 25 | $89.80 |
| 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% | 452 | $89.40 |
| 90785 | <1% | 12 | $66.00 | |
| 90658 | <1% | 157 | $45.12 | |
| 99070 | <1% | 17 | $40.20 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 53 | $37.60 |
| 99221 | <1% | 19 | $37.42 | |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 14 | $34.97 |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 22 | $27.50 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $18.00 |
| 90734 | <1% | 25 | $9.00 | |
| G9920 | Screening performed and negative | <1% | 563 | $0.02 |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 25 | $0.00 |
| 0172A | 0% | 14 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 12 | $0.00 |
| 90691 | 0% | 15 | $0.00 | |
| 95800 | 0% | 36 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 15 | $0.00 |
| 1036F | 0% | 518 | $0.00 | |
| 88142 | 0% | 451 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 194 | $0.00 |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 0% | 25 | $0.00 |
| 99441 | 0% | 61 | $0.00 | |
| G9012 | Other specified case management service not elsewhere classified | 0% | 196 | $0.00 |
| 90651 | 0% | 12 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 32 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 15 | $0.00 |
| 95806 | 0% | 12 | $0.00 | |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 0% | 43 | $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 officialWEST, PATRICIA (CHIEF FINANCIAL OFFICER)
Parent organizationPERMANENTE MEDICAL GROUP, INC.
| Provider | Location | Paid |
|---|---|---|
| Permanente Medical Group INC | Stockton, CA | $125.88M |
| Permanente Medical Group, INC. | Richmond, CA | $51.11M |
| Permanente Medical Group INC | Richmond, CA | $37.82M |
| Permanente Medical Group, INC. | Berkeley, CA | $31.35M |
| Permanente Medical Group INC | Vallejo, CA | $16.13M |
| Permanente Medical Group INC | Santa Clara, CA | $8.46M |
| Permanente Medical Group INC | San Francisco, CA | $5.40M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.