Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Baldwin Park › NPI 1770515280
Managed care

Southern California Permanente Medical Group

Southern California Permanente Medical Group was paid $27.51M by Medicaid between Jan 2018 and Dec 2024, across 289 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.

33Billing provider infoSOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
BALDWIN PARK, CA 91706
33aNPI1770515280assigned 07/07/2006
28Total paid$27.51M
24GClaims1,043,571
24DCodes billed289
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Health Maintenance Organization providers in California

Rank by total paid#9 of 151
Median peer was paid$59K
This provider vs. median466×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DAVIDOFF, RAMIN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500K$1.0M$1.5M2018201920202021202220232024
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
2018119,065$243K
2019146,271$524K
202098,510$2.05M
2021134,127$3.81M
2022148,433$4.60M
2023177,703$6.76M
2024incomplete219,462$9.53M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 27% 91,509 88,443 $7.35M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 12% 35,285 34,966 $3.25M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.7% 104,815 101,688 $1.57M
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.9% 23,164 22,671 $1.08M
92227 3.2% 83,187 83,020 $877K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 3.1% 19,861 19,713 $852K
77067 Screening mammography, bilateral, including computer-aided detection 2.9% 17,289 14,006 $808K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.7% 4,552 3,033 $756K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2.3% 103,348 103,002 $644K
90662 2.2% 5,579 5,541 $603K
67028 Intravitreal injection of a pharmacologic agent 1.8% 2,345 2,302 $490K
88305 Level IV - Surgical pathology, gross and microscopic examination 1.6% 15,594 10,281 $438K
277 more codes
99285 Emergency room visit (most serious) 1.6% 3,472 $429K
70450 Computed tomography, head or brain; without contrast material 1.4% 6,748 $385K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 41,506 $354K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.1% 19,728 $307K
92015 Determination of refractive state 1.0% 34,031 $289K
92002 <1% 7,753 $267K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 3,158 $265K
99442 <1% 3,276 $234K
97597 <1% 1,841 $232K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 3,014 $227K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 3,007 $223K
0002A <1% 5,656 $218K
0001A <1% 5,561 $211K
90834 Psychotherapy session, about 45 minutes <1% 7,096 $202K
90686 <1% 44,037 $183K
71046 Radiologic examination, chest; 2 views <1% 18,858 $163K
20610 <1% 1,451 $162K
92557 <1% 2,692 $144K
92134 <1% 5,967 $138K
99203 Doctor's office visit, new patient (routine) <1% 4,693 $130K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,491 $128K
71045 Radiologic examination, chest; single view <1% 19,275 $127K
99204 Doctor's office visit, new patient (more involved) <1% 1,483 $126K
99215 Doctor's office visit, returning patient (complex) <1% 1,761 $122K
0064A <1% 2,884 $116K
0124A <1% 3,286 $111K
99443 <1% 1,067 $111K
0004A <1% 2,283 $90K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 3,241 $89K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 4,867 $88K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 4,438 $87K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 3,607 $85K
93880 <1% 218 $82K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 7,042 $81K
90674 <1% 6,352 $79K
77080 <1% 2,508 $79K
92567 <1% 4,514 $79K
J7999 Compounded drug, not otherwise classified <1% 1,204 $77K
0054A <1% 1,722 $71K
92551 <1% 25,394 $70K
91320 <1% 355 $69K
0012A <1% 1,835 $69K
73030 <1% 3,448 $66K
90837 Psychotherapy session, about an hour <1% 1,619 $65K
93922 <1% 389 $63K
0071A <1% 1,576 $63K
73562 <1% 3,267 $61K
0134A <1% 1,638 $59K
93970 <1% 200 $59K
J0248 Injection, remdesivir, 1 mg <1% 58 $59K
0011A <1% 1,635 $59K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 365 $58K
00142 <1% 91 $58K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,525 $55K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 3,271 $52K
0072A <1% 1,238 $49K
72100 <1% 2,475 $48K
90750 <1% 535 $46K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,570 $43K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 493 $41K
76830 Ultrasound, transvaginal <1% 2,111 $38K
90472 Immunization administration, each additional vaccine (list separately) <1% 15,899 $37K
J7030 Infusion, normal saline solution , 1000 cc <1% 14,961 $35K
99441 <1% 1,068 $35K
73630 <1% 3,249 $34K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 529 $29K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 216 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 1,287 $27K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 952 $26K
93990 <1% 76 $26K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,650 $25K
90480 <1% 424 $25K
90656 <1% 4,448 $22K
0154A <1% 495 $19K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 267 $19K
92523 <1% 572 $18K
90677 <1% 474 $16K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 555 $16K
73610 <1% 1,480 $15K
73130 <1% 977 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 968 $15K
90734 <1% 374 $15K
97161 <1% 155 $14K
90651 <1% 682 $14K
90670 <1% 1,080 $14K
76801 <1% 273 $13K
99223 Prolong inpt eval add15 m <1% 76 $13K
0031A <1% 310 $12K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 248 $12K
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring <1% 25 $11K
90694 <1% 98 $11K
99281 Emergency department visit for the evaluation and management, self-limited or minor <1% 1,398 $10K
31231 <1% 54 $10K
99222 Initial hospital care, per day, moderate complexity <1% 122 $10K
77065 Tomosynthesis, mammo <1% 262 $10K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 53 $10K
76536 <1% 268 $9K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 8,249 $9K
76813 <1% 363 $9K
73502 <1% 159 $9K
70551 Magnetic resonance imaging, brain; without contrast material <1% 80 $9K
88341 <1% 84 $8K
76770 <1% 369 $8K
74183 <1% 28 $8K
96116 <1% 481 $8K
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% 21,737 $7K
99173 <1% 14,903 $7K
72050 <1% 186 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 137 $7K
62322 <1% 28 $6K
0074A <1% 173 $6K
99232 Hospital visit by a doctor, follow-up day <1% 266 $6K
90678 <1% 33 $6K
88342 <1% 190 $6K
74018 <1% 703 $6K
83520 <1% 248 $6K
0081A <1% 137 $5K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 952 $5K
0082A <1% 132 $5K
99417 Prolong home eval add 15m <1% 302 $5K
81329 <1% 202 $5K
99177 <1% 3,816 $5K
88304 <1% 693 $4K
0051A <1% 108 $4K
0052A <1% 101 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 532 $4K
73564 <1% 123 $4K
76641 <1% 173 $4K
93926 <1% 12 $4K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total 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 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) <1% 51 $4K
93294 <1% 41 $4K
0112A <1% 96 $4K
90853 Group psychotherapy (other than of a multiple-family group) <1% 940 $4K
99205 Prolong outpt/office vis <1% 24 $4K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 82 $3K
0013A <1% 78 $3K
93296 <1% 41 $3K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 427 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 100 $3K
96361 Intravenous infusion, hydration; each additional hour <1% 59 $3K
90648 <1% 1,534 $3K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 141 $2K
0003A <1% 60 $2K
90723 <1% 483 $2K
72141 <1% 29 $2K
91200 <1% 64 $2K
74170 <1% 12 $2K
0111A <1% 52 $2K
62323 <1% 13 $2K
11900 <1% 69 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 24 $2K
82105 <1% 352 $2K
99221 <1% 27 $2K
99234 <1% 13 $2K
99100 <1% 26 $2K
97165 <1% 65 $1K
71250 <1% 12 $1K
95117 <1% 126 $1K
90715 <1% 109 $1K
J1756 Injection, iron sucrose, 1 mg <1% 26 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 133 $1K
92250 <1% 102 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 134 $1K
76642 <1% 38 $1K
87338 <1% 627 $1K
90672 <1% 503 $1K
90660 <1% 215 $1K
94060 <1% 64 $1K
97535 Self-care/home management training, each 15 minutes <1% 28 $1K
73140 <1% 232 $986.10
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 494 $946.86
73100 <1% 66 $942.50
78306 <1% 13 $819.03
97010 <1% 133 $743.00
87799 <1% 14 $725.92
17110 <1% 25 $674.00
72040 <1% 37 $637.26
98968 <1% 14 $600.00
92579 <1% 24 $547.00
76706 <1% 12 $520.00
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 58 $515.00
90633 <1% 263 $510.00
81002 <1% 332 $436.36
99051 <1% 25,745 $430.93
0034A <1% 12 $421.96
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 37 $417.41
92133 <1% 18 $417.00
97035 <1% 41 $416.00
90655 <1% 194 $392.00
82962 <1% 157 $375.31
99188 <1% 119 $346.00
0083A <1% 101 $314.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 156 $300.00
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 232 $239.15
96375 Therapeutic injection; each additional sequential IV push <1% 13 $235.16
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 427 $233.68
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B <1% 14 $217.63
51798 <1% 14 $204.00
99460 <1% 131 $179.21
86800 <1% 13 $158.95
73110 <1% 30 $156.84
73560 <1% 26 $135.00
81025 <1% 72 $111.00
90716 <1% 12 $108.00
90707 <1% 12 $74.00
0173A <1% 15 $44.75
90658 <1% 269 $40.21
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 57 $35.05
83036 Hemoglobin; glycosylated (A1C) <1% 1,042 $34.16
99307 <1% 111 $33.96
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 56 $31.17
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 56 $31.07
80061 Lipid panel <1% 546 $23.08
73590 <1% 35 $20.69
82570 <1% 14 $19.00
80051 <1% 562 $18.72
84443 Thyroid stimulating hormone (TSH) <1% 419 $14.76
84403 <1% 39 $10.08
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 21 $9.60
84460 <1% 479 $9.16
82565 <1% 841 $8.62
82947 <1% 161 $6.60
85027 <1% 125 $5.71
82310 <1% 144 $4.10
84520 <1% 149 $3.15
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 12 $3.04
G9920 Screening performed and negative <1% 6,544 $0.19
1036F 0% 18,618 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 113 $0.00
90696 0% 12 $0.00
83550 0% 66 $0.00
93018 0% 55 $0.00
87081 0% 12 $0.00
85652 0% 12 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 146 $0.00
99024 0% 70 $0.00
84153 0% 57 $0.00
82043 0% 351 $0.00
82670 0% 28 $0.00
G0145 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with screening by automated system and manual rescreening under physician supervision 0% 82 $0.00
84075 0% 79 $0.00
3044F 0% 888 $0.00
82040 0% 80 $0.00
82728 0% 79 $0.00
52000 0% 13 $0.00
83002 0% 25 $0.00
83921 0% 15 $0.00
82607 0% 113 $0.00
83735 0% 28 $0.00
86780 0% 15 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 30 $0.00
84132 0% 84 $0.00
87088 0% 315 $0.00
82746 0% 18 $0.00
96112 0% 12 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 0% 12 $0.00
84439 0% 133 $0.00
99201 0% 81 $0.00
85610 0% 80 $0.00
83721 0% 31 $0.00
3046F 0% 91 $0.00
83540 0% 82 $0.00
90661 0% 743 $0.00
99354 0% 15 $0.00
84165 0% 12 $0.00
81003 0% 67 $0.00
83970 0% 40 $0.00
84450 0% 63 $0.00
82247 0% 86 $0.00
87186 0% 74 $0.00
84100 0% 29 $0.00
84295 0% 28 $0.00
82274 0% 226 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 0% 77 $0.00
92081 0% 22 $0.00
90791 Psychiatric diagnostic evaluation 0% 12 $0.00
90710 0% 12 $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 officialDAVIDOFF, RAMIN (EXECUTIVE MEDICAL DIRECTOR)
Same official

Other billing entities under DAVIDOFF, RAMIN

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.