Chest Medicine and Critical Care Medical Group, INC.

Chest Medicine and Critical Care Medical Group, INC. was paid $105K by Medicaid between Jan 2018 and Sep 2024, across 3 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 97% of everything it billed.

33Billing provider infoCHEST MEDICINE AND CRITICAL CARE MEDICAL GROUP, INC.
SAN DIEGO, CA 92123

33aNPI1841292521assigned 08/12/2005

33bProvider typeCritical Care Medicine (Internal Medicine) Physician

28Total paid$105K

24GClaims1,576

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2024

Compared with peers

Next to other Critical Care Medicine (Internal Medicine) Physician providers in California

Rank by total paid#49 of 136

Median peer was paid$38K

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	169	$8K
2019	143	$5K
2020	401	$27K
2021	468	$39K
2022	159	$9K
2023	32	$998.66
2024incomplete	204	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	97%	1,465	647	$102K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	2.4%	94	61	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	17	12	$470.98

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 officialWONG, DAVIES (PRESIDENT)