Pacific Paradise Emergency Physicians Medical Group INC

Pacific Paradise Emergency Physicians Medical Group INC was paid $6.58M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.

33Billing provider infoPACIFIC PARADISE EMERGENCY PHYSICIANS MEDICAL GROUP INC
NATIONAL CITY, CA 91950

33aNPI1780066076assigned 06/23/2015

33bProvider typeEmergency Medicine Physician

28Total paid$6.58M

24GClaims118,093

24DCodes billed9

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#86 of 988

Median peer was paid$32K

This provider vs. median207×

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	20,373	$1.16M
2019	19,392	$1.06M
2020	15,568	$864K
2021	16,791	$901K
2022	15,644	$834K
2023	16,308	$913K
2024incomplete	14,017	$854K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99285	Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life	50%	38,115	37,417	$3.27M
99284	Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity	29%	32,600	32,104	$1.91M
99283	Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity	10%	17,477	17,242	$673K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	7.2%	4,147	4,109	$472K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	3.4%	20,794	19,917	$223K
93042		<1%	3,192	3,151	$24K
99406		<1%	1,267	1,243	$11K
71045	Radiologic examination, chest; single view	<1%	255	253	$1K
G9744	Patient not eligible due to active diagnosis of hypertension	0%	246	210	$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 officialMANOS, PAUL (PRESIDENT)