Southern California Hospitalist Network Medical Group INC

Southern California Hospitalist Network Medical Group INC was paid $6.68M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 35% of everything it billed.

33Billing provider infoSOUTHERN CALIFORNIA HOSPITALIST NETWORK MEDICAL GROUP INC
ORANGE, CA 92868

33aNPI1790880458assigned 09/14/2006

33bProvider typeInternal Medicine Physician

28Total paid$6.68M

24GClaims249,399

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#22 of 2,679

Median peer was paid$13K

This provider vs. median530×

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	28,886	$792K
2019	34,323	$1.02M
2020	38,151	$1.07M
2021	37,872	$1.11M
2022	33,409	$822K
2023	39,459	$1.01M
2024incomplete	37,299	$854K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99223	Prolong inpt eval add15 m	35%	21,003	20,251	$2.33M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	27%	71,873	23,283	$1.81M
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	13%	44,138	11,427	$865K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	9.6%	77,738	67,699	$642K
99239	Hospital discharge day management, more than 30 minutes	4.8%	12,369	12,047	$323K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.4%	3,261	1,158	$291K
99222	Initial hospital care, per day, moderate complexity	3.7%	2,503	2,449	$245K
99238	Hospital discharge day management, 30 minutes or less	2.1%	5,073	4,963	$137K
99336		<1%	4,256	1,386	$16K
99309	Subsequent nursing facility care, per day, low to moderate complexity	<1%	5,166	1,013	$12K
99310	Prolong nursin fac eval 15m	<1%	853	384	$3K
99349		<1%	457	180	$3K

7 more codes

99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	67	$1K
1123F		<1%	107	$946.62
99348		<1%	359	$750.15
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	74	$307.99
95819		<1%	14	$230.50
99308	Subsequent nursing facility care, per day, straightforward	<1%	57	$22.54
99306	Prolong nursin fac eval 15m	0%	31	$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 officialHASTY, KRISTIN (DELEGATED OFFICIAL)