Physician
Zacoalco Medical Group INC
Zacoalco Medical Group INC was paid $219K by Medicaid between Jan 2018 and Dec 2024, across 99 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoZACOALCO MEDICAL GROUP INC
LOS ANGELES, CA 90001
LOS ANGELES, CA 90001
33aNPI1750442836assigned 12/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$219K
24GClaims150,340
24DCodes billed99
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#422 of 2,511
Median peer was paid$13K
This provider vs. median17×
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 | 12,573 | $39K | |
| 2019 | 25,554 | $58K | |
| 2020 | 17,504 | $17K | |
| 2021 | 22,740 | $31K | |
| 2022 | 19,123 | $22K | |
| 2023 | 27,773 | $38K | |
| 2024incomplete | 25,073 | $14K |
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 | 31% | 23,641 | 19,031 | $67K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 16% | 10,570 | 8,913 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.7% | 2,116 | 2,108 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 1,623 | 1,617 | $13K |
| 71046 | Radiologic examination, chest; 2 views | 5.1% | 1,025 | 1,016 | $11K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.2% | 2,937 | 2,633 | $7K |
| 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 | 3.1% | 3,606 | 3,033 | $7K |
| 99406 | 3.0% | 14,131 | 11,459 | $7K | |
| 92551 | 2.3% | 3,998 | 3,997 | $5K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.1% | 1,011 | 1,009 | $5K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.0% | 1,055 | 1,055 | $4K |
| 92552 | 1.9% | 1,211 | 1,205 | $4K |
87 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 91 | $4K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 1.7% | 324 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 212 | $2K |
| 93000 | <1% | 188 | $2K | |
| 85018 | <1% | 5,747 | $2K | |
| 97802 | <1% | 4,135 | $1K | |
| 96156 | <1% | 2,020 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,304 | $1K |
| 99201 | <1% | 24 | $1K | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,995 | $1K |
| 90651 | <1% | 515 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 321 | $1K |
| 99173 | <1% | 5,220 | $1K | |
| 81000 | <1% | 3,824 | $901.91 | |
| 99401 | <1% | 2,472 | $890.71 | |
| 3008F | <1% | 6,386 | $834.12 | |
| 72100 | <1% | 90 | $813.34 | |
| 99386 | <1% | 100 | $650.58 | |
| 90734 | <1% | 414 | $617.85 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 178 | $596.82 |
| 90686 | <1% | 368 | $584.61 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 82 | $509.04 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $460.39 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 138 | $448.51 |
| 96151 | <1% | 228 | $387.00 | |
| 81002 | <1% | 2,190 | $322.88 | |
| 90621 | <1% | 205 | $274.50 | |
| 90715 | <1% | 131 | $216.00 | |
| 99384 | <1% | 15 | $207.57 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 39 | $185.02 |
| 86580 | <1% | 41 | $145.70 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 932 | $104.44 |
| 3074F | <1% | 2,449 | $100.01 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25 | $100.00 |
| 4050F | <1% | 1,605 | $75.00 | |
| 99385 | <1% | 29 | $68.40 | |
| 73562 | <1% | 12 | $66.63 | |
| 83026 | <1% | 66 | $59.40 | |
| 71045 | Radiologic examination, chest; single view | <1% | 12 | $47.70 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,310 | $40.62 |
| 99442 | <1% | 668 | $40.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 500 | $39.57 |
| 90700 | <1% | 29 | $36.00 | |
| 3044F | <1% | 1,841 | $30.01 | |
| 88141 | <1% | 221 | $30.00 | |
| 1111F | <1% | 359 | $30.00 | |
| 81003 | <1% | 53 | $20.64 | |
| 3079F | <1% | 530 | $20.01 | |
| 3078F | <1% | 2,964 | $20.00 | |
| 90648 | <1% | 25 | $18.00 | |
| 96160 | <1% | 3,634 | $15.00 | |
| 99443 | <1% | 171 | $12.50 | |
| 82270 | <1% | 484 | $2.92 | |
| 3075F | <1% | 246 | $0.01 | |
| 3017F | 0% | 491 | $0.00 | |
| 3048F | 0% | 1,088 | $0.00 | |
| 1125F | 0% | 1,720 | $0.00 | |
| 1036F | 0% | 1,050 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 1,458 | $0.00 |
| 3061F | 0% | 16 | $0.00 | |
| 99407 | 0% | 15 | $0.00 | |
| 3049F | 0% | 740 | $0.00 | |
| 99496 | 0% | 83 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 30 | $0.00 |
| 3014F | 0% | 146 | $0.00 | |
| 3080F | 0% | 13 | $0.00 | |
| 96127 | 0% | 74 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 17 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 16 | $0.00 |
| 1220F | 0% | 12 | $0.00 | |
| 0521F | 0% | 1,731 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 731 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 71 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 294 | $0.00 |
| 1159F | 0% | 4,350 | $0.00 | |
| 3077F | 0% | 585 | $0.00 | |
| 1160F | 0% | 4,357 | $0.00 | |
| 3050F | 0% | 496 | $0.00 | |
| 97803 | 0% | 39 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,979 | $0.00 |
| 3015F | 0% | 262 | $0.00 | |
| 1158F | 0% | 35 | $0.00 | |
| 82274 | 0% | 34 | $0.00 | |
| 4035F | 0% | 83 | $0.00 | |
| 1003F | 0% | 94 | $0.00 | |
| 3046F | 0% | 62 | $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 officialMENCHACA, RAYMOND (MEDICAL DIRECTOR)