Scripps Health Inpatient Providers Medical Group INC.

Scripps Health Inpatient Providers Medical Group INC. was paid $11.55M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 30% of everything it billed.

33Billing provider infoSCRIPPS HEALTH INPATIENT PROVIDERS MEDICAL GROUP INC.
SAN DIEGO, CA 92121

33aNPI1699043000assigned 12/13/2011

33bProvider typeEmergency Medical Services (Emergency Medicine) Physician

28Total paid$11.55M

24GClaims258,115

24DCodes billed25

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medical Services (Emergency Medicine) Physician providers in California

Rank by total paid#1 of 43

Median peer was paid$29K

This provider vs. median398×

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	20,285	$816K
2019	29,614	$1.22M
2020	37,569	$1.81M
2021	38,250	$1.85M
2022	42,237	$1.84M
2023	49,038	$2.16M
2024incomplete	41,122	$1.85M

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	30%	91,071	38,052	$3.45M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	22%	81,063	29,750	$2.52M
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	22%	25,722	12,365	$2.50M
99223	Prolong inpt eval add15 m	15%	25,674	25,263	$1.71M
99239	Hospital discharge day management, more than 30 minutes	8.3%	21,899	21,284	$959K
99222	Initial hospital care, per day, moderate complexity	1.2%	2,230	2,200	$139K
99238	Hospital discharge day management, 30 minutes or less	<1%	3,605	3,512	$111K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	3,767	1,068	$88K
99254		<1%	283	277	$16K
99292		<1%	270	167	$16K
73610		<1%	819	713	$13K
99497		<1%	231	196	$10K

13 more codes

99255		<1%	127	$9K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	292	$7K
99253		<1%	93	$4K
59025	Fetal non-stress test	<1%	380	$4K
73130		<1%	110	$2K
73630		<1%	90	$1K
73110		<1%	63	$1K
99221		<1%	27	$929.16
99215	Doctor's office visit, returning patient (complex)	<1%	16	$881.47
99358	Prolong nursin fac eval 15m	<1%	20	$779.64
73590		<1%	45	$648.22
73560		<1%	14	$162.78
1123F		0%	204	$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 officialKESWANI, ANIL (PRESIDENT)