Physician
New Valley Medical Group INC
New Valley Medical Group INC was paid $468K by Medicaid between Jan 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoNEW VALLEY MEDICAL GROUP INC
SAN GABRIEL, CA 91776
SAN GABRIEL, CA 91776
33aNPI1669612297assigned 02/22/2009
33bProvider typeInternal Medicine Physician
28Total paid$468K
24GClaims50,906
24DCodes billed54
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#247 of 2,679
Median peer was paid$13K
This provider vs. median37×
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 | 4,356 | $31K | |
| 2019 | 4,468 | $55K | |
| 2020 | 5,055 | $125K | |
| 2021 | 4,052 | $53K | |
| 2022 | 11,933 | $112K | |
| 2023 | 12,640 | $65K | |
| 2024incomplete | 8,402 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 57% | 26,071 | 21,871 | $268K |
| 99442 | 27% | 9,632 | 8,658 | $127K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.6% | 1,609 | 307 | $17K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 3.2% | 1,348 | 1,148 | $15K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.6% | 822 | 822 | $12K |
| 93000 | 1.6% | 1,485 | 1,483 | $7K | |
| 90750 | 1.2% | 95 | 95 | $5K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 54 | 53 | $5K |
| 90688 | <1% | 441 | 440 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 798 | 795 | $2K |
| 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 | <1% | 229 | 226 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 138 | 130 | $916.93 |
42 more codes
| 90694 | <1% | 304 | $748.74 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 152 | $634.87 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 42 | $578.10 |
| G0008 | Administration of influenza virus vaccine | <1% | 797 | $566.27 |
| 90756 | <1% | 149 | $559.61 | |
| 90674 | <1% | 38 | $419.40 | |
| 85610 | <1% | 189 | $205.11 | |
| 81002 | <1% | 144 | $175.99 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 190 | $108.82 |
| 1170F | <1% | 679 | $80.80 | |
| 99305 | <1% | 13 | $42.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 643 | $26.31 |
| 90656 | <1% | 50 | $24.23 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 583 | $0.01 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 328 | $0.00 |
| 3078F | 0% | 116 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 368 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 195 | $0.00 |
| 1124F | 0% | 344 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 51 | $0.00 |
| 1090F | 0% | 505 | $0.00 | |
| 90653 | 0% | 28 | $0.00 | |
| 3095F | 0% | 90 | $0.00 | |
| G9899 | Screening, diagnostic, film, digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | 0% | 27 | $0.00 |
| 90662 | 0% | 116 | $0.00 | |
| 1158F | 0% | 20 | $0.00 | |
| 3288F | 0% | 84 | $0.00 | |
| G8598 | Aspirin or another antiplatelet therapy used | 0% | 12 | $0.00 |
| 1125F | 0% | 258 | $0.00 | |
| 1101F | 0% | 646 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 353 | $0.00 |
| 3017F | 0% | 82 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 186 | $0.00 |
| 1126F | 0% | 112 | $0.00 | |
| G2092 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken | 0% | 28 | $0.00 |
| 3074F | 0% | 88 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 28 | $0.00 |
| 3044F | 0% | 45 | $0.00 | |
| 3066F | 0% | 14 | $0.00 | |
| 1123F | 0% | 25 | $0.00 | |
| 1036F | 0% | 50 | $0.00 | |
| 3061F | 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 officialWU, TAI (M.D.)
| Provider | Location | Paid |
|---|---|---|
| Del Mar Medical Group | San Gabriel, CA | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.