Physician
Zacoalco Medical Group INC
Zacoalco Medical Group INC was paid $2.74M by Medicaid between Jan 2018 and Dec 2024, across 85 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.
33Billing provider infoZACOALCO MEDICAL GROUP INC
BAKERSFIELD, CA 93306
BAKERSFIELD, CA 93306
33aNPI1679626170assigned 01/19/2007
33bProvider typeObstetrics & Gynecology Physician
28Total paid$2.74M
24GClaims116,220
24DCodes billed85
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#50 of 791
Median peer was paid$67K
This provider vs. median41×
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 | 14,692 | $343K | |
| 2019 | 23,501 | $359K | |
| 2020 | 21,475 | $336K | |
| 2021 | 11,575 | $347K | |
| 2022 | 12,347 | $379K | |
| 2023 | 14,936 | $329K | |
| 2024incomplete | 17,694 | $648K |
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 | 54% | 35,919 | 25,499 | $1.49M |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.5% | 1,318 | 1,305 | $152K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.5% | 556 | 554 | $151K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 4.5% | 2,421 | 2,211 | $123K |
| 99406 | 4.5% | 11,105 | 8,337 | $122K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,447 | 1,436 | $105K |
| 93000 | 2.7% | 2,189 | 2,163 | $73K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.6% | 711 | 681 | $71K |
| 93880 | 2.1% | 322 | 320 | $59K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 998 | 993 | $57K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | 1.4% | 1,672 | 1,570 | $39K |
| 92551 | 1.4% | 3,003 | 2,956 | $39K |
73 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.0% | 1,903 | $28K |
| G9920 | Screening performed and negative | <1% | 636 | $22K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,122 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 651 | $18K |
| 99173 | <1% | 3,968 | $15K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 447 | $13K |
| 81002 | <1% | 6,762 | $12K | |
| 90686 | <1% | 759 | $12K | |
| 86328 | <1% | 265 | $12K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 204 | $12K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 63 | $10K |
| 85018 | <1% | 4,959 | $8K | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,858 | $8K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 211 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 192 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 182 | $7K |
| 92552 | <1% | 482 | $6K | |
| 82962 | <1% | 3,152 | $6K | |
| 96156 | <1% | 322 | $5K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 943 | $5K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 124 | $4K |
| 90651 | <1% | 352 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 72 | $3K |
| 90734 | <1% | 298 | $3K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 577 | $3K |
| 90714 | <1% | 65 | $2K | |
| 99407 | <1% | 101 | $2K | |
| 99385 | <1% | 24 | $2K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 12 | $2K |
| 90674 | <1% | 42 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 24 | $874.44 |
| 90756 | <1% | 30 | $708.30 | |
| 99000 | <1% | 551 | $669.38 | |
| 90715 | <1% | 54 | $579.60 | |
| 97802 | <1% | 331 | $460.00 | |
| 96151 | <1% | 152 | $404.08 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $398.13 |
| 90621 | <1% | 28 | $339.20 | |
| 90700 | <1% | 29 | $320.80 | |
| 99401 | <1% | 419 | $255.17 | |
| 90670 | <1% | 15 | $160.20 | |
| 90648 | <1% | 14 | $158.80 | |
| 83655 | <1% | 14 | $148.82 | |
| 90713 | <1% | 12 | $148.00 | |
| 86580 | <1% | 31 | $97.10 | |
| 81025 | <1% | 26 | $69.41 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 331 | $26.71 |
| 82947 | <1% | 14 | $21.01 | |
| 3079F | 0% | 908 | $0.00 | |
| 4050F | 0% | 2,930 | $0.00 | |
| 3074F | 0% | 1,427 | $0.00 | |
| 1125F | 0% | 1,085 | $0.00 | |
| 3008F | 0% | 3,118 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,138 | $0.00 |
| 3080F | 0% | 298 | $0.00 | |
| 3014F | 0% | 45 | $0.00 | |
| 3075F | 0% | 513 | $0.00 | |
| 3044F | 0% | 285 | $0.00 | |
| 3048F | 0% | 171 | $0.00 | |
| 3052F | 0% | 12 | $0.00 | |
| 3049F | 0% | 71 | $0.00 | |
| 88150 | 0% | 29 | $0.00 | |
| 3017F | 0% | 37 | $0.00 | |
| 3077F | 0% | 1,997 | $0.00 | |
| 1159F | 0% | 1,434 | $0.00 | |
| 3078F | 0% | 2,520 | $0.00 | |
| 0521F | 0% | 1,096 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 370 | $0.00 |
| 1160F | 0% | 1,421 | $0.00 | |
| 96160 | 0% | 722 | $0.00 | |
| 3015F | 0% | 27 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 39 | $0.00 |
| 3050F | 0% | 16 | $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 officialDE LA ROSA, SAUL (PRESIDENT)
Parent organizationZACOALCO MEDICAL GROUP INC
| Provider | Location | Paid |
|---|---|---|
| Zacoalco Urgent Care Center INC | Los Angeles, CA | $93K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.