Physician
Matsam Medical Group, INC.
Matsam Medical Group, INC. was paid $190K by Medicaid between Jan 2018 and Dec 2019, across 40 billing codes. Its largest line is Z1034, — 26% of everything it billed.
33Billing provider infoMATSAM MEDICAL GROUP, INC.
FRESNO, CA 93720
FRESNO, CA 93720
33aNPI1821105651assigned 08/25/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$190K
24GClaims23,574
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#286 of 791
Median peer was paid$67K
This provider vs. median2.8×
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 | 13,049 | $145K | |
| 2019 | 10,525 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Z1034 | 26% | 913 | 583 | $50K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 17% | 177 | 172 | $33K |
| 59425 | 16% | 2,718 | 1,713 | $30K | |
| 59514 | 6.5% | 51 | 51 | $12K | |
| Z6400 | 4.9% | 474 | 393 | $9K | |
| 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 | 4.3% | 681 | 600 | $8K |
| Z6500 | 3.2% | 49 | 49 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.2% | 850 | 629 | $6K |
| 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 | 2.0% | 170 | 129 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 594 | 512 | $4K |
| H1003 | Prenatal care, at-risk enhanced service; education | 1.5% | 1,070 | 851 | $3K |
| H2000 | Comprehensive multidisciplinary evaluation | 1.2% | 299 | 292 | $2K |
28 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.1% | 161 | $2K |
| Z6406 | 1.0% | 230 | $2K | |
| Z1032 | <1% | 13 | $2K | |
| 87510 | <1% | 1,503 | $2K | |
| J3490 | Unclassified drugs | <1% | 47 | $2K |
| 87660 | <1% | 1,503 | $2K | |
| 87480 | <1% | 1,503 | $2K | |
| 81002 | <1% | 4,920 | $2K | |
| 99401 | <1% | 1,029 | $1K | |
| 59430 | <1% | 109 | $1K | |
| 97803 | <1% | 500 | $1K | |
| 96151 | <1% | 564 | $937.24 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 419 | $913.70 |
| 96152 | <1% | 488 | $876.70 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 312 | $870.81 |
| 81025 | <1% | 1,008 | $840.93 | |
| Z6304 | <1% | 47 | $448.15 | |
| 59025 | Fetal non-stress test | <1% | 30 | $225.72 |
| Z6204 | <1% | 13 | $152.16 | |
| Z6308 | <1% | 15 | $130.21 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 40 | $77.04 |
| 87210 | <1% | 12 | $19.86 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 836 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 106 | $0.00 |
| 90688 | 0% | 31 | $0.00 | |
| 90715 | 0% | 45 | $0.00 | |
| H1000 | Prenatal care, at-risk assessment | 0% | 15 | $0.00 |
| H1002 | Prenatal care, at risk enhanced service; care coordination | 0% | 29 | $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 officialMATHARU, JOGINDER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Cal Family Health, INC. | Reedley, CA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.