Physician
Congress Associates INC
Congress Associates INC was paid $79K by Medicaid between Feb 2018 and Feb 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoCONGRESS ASSOCIATES INC
PASADENA, CA 91105
PASADENA, CA 91105
33aNPI1750312799assigned 07/06/2006
33bProvider typeRheumatology Physician
28Total paid$79K
24GClaims5,620
24DCodes billed12
24AFirst – last monthFeb 2018 – Feb 2024
Compared with peers
Next to other Rheumatology Physician providers in California
Rank by total paid#67 of 147
Median peer was paid$43K
This provider vs. median1.8×
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 | 187 | $2K | |
| 2019 | 1,492 | $26K | |
| 2020 | 509 | $11K | |
| 2021 | 1,395 | $20K | |
| 2022 | 119 | $4K | |
| 2023 | 1,326 | $12K | |
| 2024incomplete | 592 | $4K |
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 | 42% | 1,516 | 1,342 | $33K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 27% | 1,657 | 483 | $21K |
| 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 | 20% | 696 | 647 | $16K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 4.3% | 739 | 222 | $3K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.3% | 75 | 75 | $3K |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | 2.0% | 766 | 216 | $2K |
| 20610 | <1% | 95 | 62 | $628.29 | |
| 72100 | <1% | 12 | 12 | $37.03 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 15 | 14 | $34.65 |
| 73610 | <1% | 14 | 12 | $34.06 | |
| 73565 | 0% | 15 | 15 | $0.00 | |
| 73560 | 0% | 20 | 13 | $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 officialFRAIPONT, MICHAEL (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Congress Medical Surgery Center LLC | Pasadena, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.