American Family Medical Providers INC
American Family Medical Providers INC was paid $30K by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoAMERICAN FAMILY MEDICAL PROVIDERS INC
DUARTE, CA 91010
DUARTE, CA 91010
33aNPI1720268998assigned 11/05/2007
33bProvider typeSpecialist
28Total paid$30K
24GClaims33,350
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#684 of 1,230
Median peer was paid$51K
This provider vs. median0.6×
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 | 6,289 | $5K | |
| 2019 | 7,932 | $8K | |
| 2020 | 3,045 | $5K | |
| 2021 | 3,502 | $2K | |
| 2022 | 4,052 | $4K | |
| 2023 | 4,602 | $4K | |
| 2024incomplete | 3,928 | $1K |
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 | 46% | 3,285 | 3,259 | $14K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 20% | 381 | 378 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 2,244 | 2,233 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.4% | 593 | 593 | $1K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 3.9% | 252 | 251 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 2.0% | 482 | 482 | $600.00 |
| 90686 | 1.9% | 74 | 74 | $567.95 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.8% | 163 | 163 | $529.35 |
| 99441 | 1.7% | 418 | 418 | $525.43 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | 106 | $250.00 |
| 1157F | <1% | 613 | 613 | $198.51 | |
| 99442 | <1% | 65 | 65 | $95.00 |
29 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $94.48 |
| 90756 | <1% | 21 | $92.16 | |
| 90658 | <1% | 15 | $40.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 118 | $35.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 49 | $34.82 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 112 | $25.00 |
| 3008F | <1% | 7,320 | $23.76 | |
| 3080F | <1% | 924 | $17.92 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 971 | $0.26 |
| 3075F | 0% | 966 | $0.00 | |
| 1126F | 0% | 241 | $0.00 | |
| 3079F | 0% | 1,872 | $0.00 | |
| 3074F | 0% | 3,251 | $0.00 | |
| 1170F | 0% | 99 | $0.00 | |
| 1101F | 0% | 46 | $0.00 | |
| 1125F | 0% | 43 | $0.00 | |
| 1159F | 0% | 1,575 | $0.00 | |
| 3077F | 0% | 1,356 | $0.00 | |
| 1003F | 0% | 367 | $0.00 | |
| 3078F | 0% | 2,805 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 92 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | $0.00 |
| 3725F | 0% | 715 | $0.00 | |
| 1160F | 0% | 1,609 | $0.00 | |
| G8539 | Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | 0% | 12 | $0.00 |
| 1124F | 0% | 12 | $0.00 | |
| 3288F | 0% | 16 | $0.00 | |
| 1158F | 0% | 13 | $0.00 | |
| 0521F | 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 officialMATHIOULAKIS, STAN (PRESIDENT)