Colonial Corner Medical Group, INC.
Colonial Corner Medical Group, INC. was paid $44K by Medicaid between Jan 2018 and Mar 2020, across 33 billing codes. Its largest line is 99429, — 46% of everything it billed.
33Billing provider infoCOLONIAL CORNER MEDICAL GROUP, INC.
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
33aNPI1669596557assigned 03/18/2007
33bProvider typeSpecialist
28Total paid$44K
24GClaims12,486
24DCodes billed33
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Specialist providers in California
Rank by total paid#636 of 1,230
Median peer was paid$51K
This provider vs. median0.8×
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 | 5,412 | $16K | |
| 2019 | 5,667 | $16K | |
| 2020 | 1,407 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99429 | 46% | 147 | 147 | $20K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 25% | 2,526 | 2,456 | $11K |
| 99205 | Prolong outpt/office vis | 9.5% | 264 | 263 | $4K |
| 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 | 9.2% | 1,658 | 1,610 | $4K |
| 1125F | 2.8% | 50 | 50 | $1K | |
| 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% | 636 | 629 | $959.75 |
| 36410 | 1.4% | 851 | 837 | $603.76 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 391 | 380 | $521.01 |
| 90674 | <1% | 247 | 245 | $384.09 | |
| 90686 | <1% | 252 | 251 | $367.46 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 654 | 641 | $225.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 329 | 327 | $141.86 |
21 more codes
| G0506 | Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | <1% | 25 | $99.72 |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | <1% | 87 | $84.91 |
| 99000 | <1% | 456 | $71.32 | |
| 81002 | <1% | 619 | $55.12 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 95 | $51.00 |
| 82274 | <1% | 123 | $41.16 | |
| G0008 | Administration of influenza virus vaccine | <1% | 39 | $31.33 |
| 96160 | <1% | 235 | $1.59 | |
| 3008F | 0% | 105 | $0.00 | |
| 3074F | 0% | 525 | $0.00 | |
| 3079F | 0% | 118 | $0.00 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | 0% | 101 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 30 | $0.00 |
| 1170F | 0% | 123 | $0.00 | |
| 88141 | 0% | 61 | $0.00 | |
| 82270 | 0% | 43 | $0.00 | |
| 3075F | 0% | 17 | $0.00 | |
| 3077F | 0% | 79 | $0.00 | |
| 1160F | 0% | 487 | $0.00 | |
| 3078F | 0% | 626 | $0.00 | |
| 1159F | 0% | 487 | $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 officialDAVID, ELIZABETH (FINANCE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Hennepin County | Minneapolis, MN | $34.86M |
| Hennepin County | Minneapolis, MN | $221K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.