Durga Medical Corporation

Durga Medical Corporation was paid $390K by Medicaid between Jan 2018 and Nov 2024, across 71 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 43% of everything it billed.

33Billing provider infoDURGA MEDICAL CORPORATION
HEMET, CA 92543

33aNPI1669523759assigned 01/15/2007

33bProvider typeAssisted Living Facility

28Total paid$390K

24GClaims123,194

24DCodes billed71

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Assisted Living Facility providers in California

Rank by total paid#224 of 252

Median peer was paid$2.95M

This provider vs. median0.1×

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	17,174	$88K
2019	33,850	$95K
2020	16,933	$65K
2021	10,025	$39K
2022	11,220	$25K
2023	16,451	$30K
2024incomplete	17,541	$48K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	43%	4,835	1,148	$166K
99223	Prolong inpt eval add15 m	21%	1,341	1,267	$80K
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	12%	20,162	18,966	$49K
99238	Hospital discharge day management, 30 minutes or less	9.0%	1,230	1,176	$35K
99307		3.0%	1,203	1,176	$12K
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	2.6%	1,319	1,274	$10K
90653		2.4%	177	176	$10K
90662		2.2%	193	193	$9K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	1.4%	1,175	1,163	$6K
99305		1.4%	158	156	$5K
90686		<1%	196	195	$3K
90688		<1%	205	205	$3K

59 more codes

99496		<1%	45	$694.91
93000		<1%	28	$577.68
99213	Doctor's office visit, returning patient (routine)	<1%	41	$523.76
90756		<1%	28	$401.47
90658		<1%	22	$321.05
1126F		<1%	1,380	$200.50
G0008	Administration of influenza virus vaccine	<1%	782	$78.92
3078F		<1%	13,264	$3.08
3074F		<1%	12,902	$2.96
99499		<1%	8,325	$2.63
1170F		<1%	3,096	$1.68
1160F		<1%	4,674	$1.53
1159F		<1%	3,854	$1.53
1158F		<1%	1,876	$1.52
0521F		<1%	2,374	$1.52
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	1,560	$1.18
3008F		<1%	5,958	$0.91
96156		<1%	735	$0.83
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	1,924	$0.78
1157F		<1%	1,865	$0.76
3725F		<1%	1,929	$0.73
3288F		<1%	3,524	$0.72
1101F		<1%	3,859	$0.64
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,255	$0.64
1036F		<1%	4,509	$0.55
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	716	$0.44
G9920	Screening performed and negative	<1%	179	$0.30
96160		<1%	166	$0.30
3075F		<1%	1,624	$0.27
G0444	Annual depression screening, 5 to 15 minutes	<1%	557	$0.23
3079F		<1%	1,458	$0.21
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	397	$0.21
1125F		<1%	1,507	$0.18
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	<1%	784	$0.14
G9919	Screening performed and positive and provision of recommendations	<1%	58	$0.10
3044F		<1%	28	$0.02
1111F		<1%	31	$0.01
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	360	$0.00
3080F		0%	47	$0.00
1034F		0%	632	$0.00
1035F		0%	126	$0.00
1123F		0%	51	$0.00
G0328	Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	0%	13	$0.00
G8433	Screening for depression not completed, documented patient or medical reason	0%	145	$0.00
88141		0%	76	$0.00
H0001	Alcohol and/or drug assessment	0%	57	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	277	$0.00
4004F		0%	154	$0.00
0518F		0%	185	$0.00
G8783	Normal blood pressure reading documented, follow-up not required	0%	563	$0.00
Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	0%	64	$0.00
3077F		0%	269	$0.00
1100F		0%	156	$0.00
G8731	Pain assessment using a standardized tool is documented as negative, no follow-up plan required	0%	403	$0.00
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	0%	12	$0.00
1124F		0%	16	$0.00
G8482	Influenza immunization administered or previously received	0%	13	$0.00
G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	0%	53	$0.00
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	0%	14	$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 officialGANTA, SANYASI (PRESIDENT)