Hospitalists of Modesto Medical Group INC

Hospitalists of Modesto Medical Group INC was paid $13.17M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 31% of everything it billed.

33Billing provider infoHOSPITALISTS OF MODESTO MEDICAL GROUP INC
MODESTO, CA 95350

33aNPI1821190711assigned 09/02/2006

33bProvider typeInternal Medicine Physician

28Total paid$13.17M

24GClaims285,368

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#8 of 2,679

Median peer was paid$13K

This provider vs. median1,045×

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	31,126	$1.30M
2019	43,494	$1.75M
2020	40,820	$1.77M
2021	44,680	$2.15M
2022	42,608	$2.16M
2023	46,109	$2.22M
2024incomplete	36,531	$1.82M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	31%	119,406	52,578	$4.06M
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	23%	69,318	37,150	$3.03M
99223	Prolong inpt eval add15 m	22%	39,253	38,606	$2.95M
99239	Hospital discharge day management, more than 30 minutes	9.1%	23,622	23,292	$1.19M
99222	Initial hospital care, per day, moderate complexity	6.2%	12,817	12,624	$816K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	4.8%	5,806	2,387	$628K
99238	Hospital discharge day management, 30 minutes or less	3.2%	11,916	11,675	$416K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	3,074	1,505	$73K
99220		<1%	77	76	$4K
99497		<1%	55	42	$3K
99245		<1%	12	12	$1K
99406		<1%	12	12	$66.52

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 officialWALLACE, THOMAS (CEO)