Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Monterey Park › NPI 1750449336
Physician

Garfield Hematology and Oncology Consultants Medical Group, INC

Garfield Hematology and Oncology Consultants Medical Group, INC was paid $192K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoGARFIELD HEMATOLOGY AND ONCOLOGY CONSULTANTS MEDICAL GROUP, INC
MONTEREY PARK, CA 91754
33aNPI1750449336assigned 12/05/2006
28Total paid$192K
24GClaims9,203
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in California

Rank by total paid#35 of 180
Median peer was paid$26K
This provider vs. median7.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,109$20K
20191,592$47K
20202,195$52K
2021895$17K
20221,431$29K
20231,286$18K
2024incomplete695$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 41% 3,604 2,892 $78K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 26% 2,274 780 $51K
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 8.9% 704 685 $17K
96415 4.7% 511 280 $9K
96375 Therapeutic injection; each additional sequential IV push 4.5% 517 279 $9K
99356 4.1% 177 175 $8K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3.7% 515 281 $7K
96361 Intravenous infusion, hydration; each additional hour 2.9% 310 163 $6K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 156 64 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 162 127 $2K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 133 111 $905.40
96417 <1% 41 27 $515.46
4 more codes
99203 Doctor's office visit, new patient (routine) <1% 13 $473.23
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 19 $81.13
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) <1% 12 $43.04
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 55 $14.11

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 officialBANKS, SETSUKO (OFFICE MANAGER)