Managed care
Karing Physicians Medical Group, INC.
Karing Physicians Medical Group, INC. was paid $405K by Medicaid between Jan 2018 and Aug 2021, across 111 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 8.8% of everything it billed.
33Billing provider infoKARING PHYSICIANS MEDICAL GROUP, INC.
CYPRESS, CA 90630
CYPRESS, CA 90630
33aNPI1790943736assigned 05/27/2008
33bProvider typeHealth Maintenance Organization
28Total paid$405K
24GClaims60,373
24DCodes billed111
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Health Maintenance Organization providers in California
Rank by total paid#43 of 151
Median peer was paid$59K
This provider vs. median6.9×
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 | 24,447 | $150K | |
| 2019 | 4,605 | $22K | |
| 2020 | 14,887 | $107K | |
| 2021 | 16,434 | $127K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.8% | 410 | 406 | $36K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 10,076 | 9,012 | $34K |
| 96156 | 8.2% | 1,516 | 1,514 | $33K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 1,942 | 1,940 | $30K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 7.3% | 343 | 277 | $29K |
| 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 | 6.1% | 2,118 | 2,012 | $25K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 5.8% | 485 | 468 | $24K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 1,085 | 1,083 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 1,308 | 1,308 | $18K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.3% | 203 | 195 | $18K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.4% | 465 | 458 | $14K |
| 36415 | Collection of venous blood by venipuncture | 3.2% | 1,066 | 1,048 | $13K |
99 more codes
| 92552 | 2.6% | 1,723 | $11K | |
| 99203 | Doctor's office visit, new patient (routine) | 2.3% | 130 | $9K |
| 99285 | Emergency room visit (most serious) | 1.9% | 103 | $8K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 399 | $5K |
| 99205 | Prolong outpt/office vis | 1.3% | 30 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.0% | 254 | $4K |
| V2020 | Frames, purchases | 1.0% | 238 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 178 | $4K |
| 80053 | Comprehensive metabolic panel | <1% | 515 | $4K |
| 80061 | Lipid panel | <1% | 674 | $3K |
| 90658 | <1% | 1,183 | $3K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 104 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 65 | $3K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | <1% | 118 | $3K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,003 | $3K |
| 92015 | Determination of refractive state | <1% | 457 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 612 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 314 | $2K |
| 92551 | <1% | 2,405 | $2K | |
| 85018 | <1% | 3,451 | $2K | |
| 90670 | <1% | 537 | $1K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 245 | $1K |
| 90688 | <1% | 550 | $1K | |
| 90651 | <1% | 449 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,718 | $1K |
| 90734 | <1% | 502 | $1K | |
| 90633 | <1% | 356 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 28 | $1K |
| 81000 | <1% | 1,234 | $1K | |
| 81001 | <1% | 303 | $969.11 | |
| 90686 | <1% | 633 | $950.89 | |
| 96150 | <1% | 171 | $861.42 | |
| 99383 | <1% | 42 | $827.71 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 63 | $774.18 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | $756.34 |
| 90698 | <1% | 263 | $716.40 | |
| 97802 | <1% | 1,358 | $707.98 | |
| 90700 | <1% | 270 | $687.60 | |
| 90715 | <1% | 254 | $635.00 | |
| 99384 | <1% | 30 | $584.97 | |
| 92081 | <1% | 3,804 | $579.92 | |
| 90680 | <1% | 203 | $571.88 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 96 | $555.37 |
| 83655 | <1% | 102 | $545.32 | |
| 90707 | <1% | 212 | $500.40 | |
| 90716 | <1% | 226 | $500.40 | |
| 84439 | <1% | 74 | $425.28 | |
| 90620 | <1% | 240 | $406.80 | |
| 73610 | <1% | 12 | $385.54 | |
| 90648 | <1% | 116 | $349.20 | |
| J3490 | Unclassified drugs | <1% | 52 | $329.97 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 37 | $314.27 |
| 82785 | <1% | 27 | $301.29 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,125 | $289.84 |
| 87070 | <1% | 37 | $283.48 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 97 | $268.11 |
| 90672 | <1% | 86 | $266.40 | |
| 90744 | <1% | 74 | $230.40 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 19 | $185.18 |
| 81025 | <1% | 36 | $176.82 | |
| 85027 | <1% | 103 | $157.80 | |
| 86580 | <1% | 205 | $135.24 | |
| 87081 | <1% | 17 | $131.37 | |
| 81002 | <1% | 163 | $121.33 | |
| 99000 | <1% | 45 | $113.94 | |
| 90713 | <1% | 52 | $97.20 | |
| G9920 | Screening performed and negative | <1% | 573 | $87.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 15 | $84.61 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 58 | $71.93 |
| 90649 | <1% | 149 | $64.80 | |
| 90660 | <1% | 17 | $61.20 | |
| 90655 | <1% | 15 | $54.00 | |
| 90657 | <1% | 81 | $54.00 | |
| 82947 | <1% | 14 | $40.18 | |
| 94760 | <1% | 200 | $33.54 | |
| 86140 | <1% | 13 | $32.62 | |
| 99173 | <1% | 337 | $23.02 | |
| 99441 | <1% | 1,123 | $10.26 | |
| 86003 | <1% | 15 | $6.52 | |
| 97803 | 0% | 832 | $0.00 | |
| 90685 | 0% | 43 | $0.00 | |
| 99442 | 0% | 73 | $0.00 | |
| 96160 | 0% | 960 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 41 | $0.00 |
| 99421 | 0% | 13 | $0.00 | |
| 99051 | 0% | 88 | $0.00 | |
| A4245 | Alcohol wipes, per box | 0% | 13 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 27 | $0.00 |
| 99188 | 0% | 14 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 16 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 77 | $0.00 |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | 0% | 13 | $0.00 |
| 3008F | 0% | 1,038 | $0.00 | |
| 0001A | 0% | 13 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 43 | $0.00 |
| 96151 | 0% | 87 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 13 | $0.00 |
| 96127 | 0% | 40 | $0.00 | |
| 84480 | 0% | 14 | $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 officialTSI, CHUNG (PRESIDENT)