Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Southern California Emergency Medicine

Southern California Emergency Medicine was paid $33.82M by Medicaid between Jan 2018 and Nov 2024, across 136 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 38% of everything it billed.

33Billing provider infoSOUTHERN CALIFORNIA EMERGENCY MEDICINE
SAN BERNARDINO, CA 92404
33aNPI1639314255assigned 12/10/2008
28Total paid$33.82M
24GClaims1,540,619
24DCodes billed136
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in California

Rank by total paid#5 of 284
Median peer was paid$147K
This provider vs. median229×

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

$0$250K$500K$750K2018201920202021202220232024
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
YearClaimsPaid
2018140,503$4.15M
2019173,165$5.06M
2020276,049$4.51M
2021245,123$4.89M
2022214,606$4.84M
2023267,116$5.27M
2024incomplete224,057$5.10M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 38% 338,806 318,420 $12.87M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 336,195 319,048 $8.24M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19% 111,290 110,875 $6.31M
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 14% 67,683 67,492 $4.74M
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 35,405 34,209 $226K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 2,815 2,793 $179K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 1,565 751 $115K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 10,125 9,819 $75K
0012A <1% 1,521 1,521 $56K
81002 <1% 86,881 84,675 $56K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 862 847 $49K
81025 <1% 58,846 57,377 $45K
124 more codes
71046 Radiologic examination, chest; 2 views <1% 6,780 $42K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 2,279 $42K
0011A <1% 1,276 $42K
0001A <1% 1,147 $41K
L4386 Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 435 $39K
0002A <1% 950 $38K
87070 <1% 38,285 $35K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 17,761 $35K
29125 <1% 986 $30K
12001 <1% 1,042 $29K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 851 $25K
93000 <1% 3,152 $23K
29540 <1% 2,704 $22K
S9083 Global fee urgent care centers <1% 2,742 $22K
73630 <1% 2,774 $20K
29515 <1% 595 $20K
73610 <1% 2,713 $20K
29530 <1% 1,114 $19K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 946 $18K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 3,333 $17K
73130 <1% 2,170 $17K
29130 <1% 1,403 $17K
10060 <1% 909 $16K
0031A <1% 351 $13K
73110 <1% 1,602 $12K
73562 <1% 1,379 $11K
29126 <1% 180 $10K
73140 <1% 1,700 $9K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 17,666 $8K
L3260 Surgical boot/shoe, each <1% 390 $8K
72100 <1% 808 $8K
69210 <1% 1,098 $7K
29260 <1% 312 $6K
29105 <1% 158 $6K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 979 $6K
73620 <1% 1,418 $6K
73600 <1% 1,178 $6K
82962 <1% 8,703 $5K
90714 <1% 943 $5K
11730 <1% 445 $5K
12011 <1% 108 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 74 $5K
99205 Prolong outpt/office vis <1% 60 $5K
73030 <1% 701 $5K
73120 <1% 957 $4K
73560 <1% 735 $4K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 96 $4K
90674 <1% 141 $4K
J3490 Unclassified drugs <1% 3,100 $4K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 3,346 $4K
73100 <1% 616 $3K
73080 <1% 431 $3K
0064A <1% 71 $3K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 3,839 $3K
69209 <1% 447 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13,126 $3K
0004A <1% 67 $3K
99000 <1% 666 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,299 $2K
73660 <1% 276 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 142 $2K
29505 <1% 27 $2K
73090 <1% 309 $2K
73070 <1% 205 $2K
L3924 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf <1% 43 $2K
72050 <1% 111 $2K
29280 <1% 43 $1K
90686 <1% 74 $1K
0003A <1% 34 $1K
17110 <1% 13 $1K
0034A <1% 31 $1K
80306 <1% 115 $1K
0013A <1% 26 $1K
73020 <1% 204 $1K
G9920 Screening performed and negative <1% 127,274 $867.68
29131 <1% 46 $862.42
11045 <1% 79 $705.63
72070 <1% 75 $664.28
L3923 Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 29 $639.16
71045 Radiologic examination, chest; single view <1% 438 $454.83
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 3,199 $451.95
73590 <1% 108 $402.15
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 1,185 $368.73
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 11,258 $306.95
72040 <1% 89 $299.88
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 6,733 $274.15
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 123 $239.45
J7030 Infusion, normal saline solution , 1000 cc <1% 43 $193.24
86308 <1% 63 $169.10
99384 <1% 1,074 $131.56
71020 <1% 13 $109.04
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 3,256 $102.90
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 2,353 $74.78
99383 <1% 1,854 $54.83
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 71 $54.82
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 426 $38.76
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 270 $31.07
J0690 Injection, cefazolin sodium, 500 mg <1% 12 $19.52
71101 <1% 67 $11.52
81003 0% 107 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 17 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 5,539 $0.00
99188 0% 237 $0.00
4004F 0% 83 $0.00
99382 0% 289 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 262 $0.00
90756 0% 145 $0.00
3078F 0% 147 $0.00
S0077 Injection, clindamycin phosphate, 300 mg 0% 15 $0.00
74177 Computed tomography, abdomen and pelvis; with contrast material 0% 12 $0.00
69200 0% 26 $0.00
1036F 0% 59,302 $0.00
H0049 Alcohol and/or drug screening 0% 55,330 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 38,425 $0.00
3075F 0% 114 $0.00
3074F 0% 194 $0.00
90688 0% 86 $0.00
99385 0% 692 $0.00
3079F 0% 184 $0.00
36415 Collection of venous blood by venipuncture 0% 12 $0.00
73060 0% 14 $0.00
12002 0% 41 $0.00
73564 0% 12 $0.00
3044F 0% 12 $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 officialBEARIE, BRIAN (OWNER)