Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

John Muir Physician Network

John Muir Physician Network was paid $27.06M by Medicaid between Jan 2018 and Dec 2024, across 183 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoJOHN MUIR PHYSICIAN NETWORK
WALNUT CREEK, CA 94597
33aNPI1841407665assigned 05/17/2007
33bProvider typeGeneral Practice Physician
28Total paid$27.06M
24GClaims563,452
24DCodes billed183
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Physician providers in California

Rank by total paid#2 of 474
Median peer was paid$10K
This provider vs. median2,610×

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

$0$500K$1.0M2018201920202021202220232024
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
YearClaimsPaid
201825,555$618K
201969,239$2.29M
202061,122$2.50M
202190,609$4.08M
2022105,134$4.92M
2023107,699$5.82M
2024incomplete104,094$6.84M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 34% 139,251 134,501 $9.09M
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 15% 66,670 63,673 $4.17M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 7.9% 61,178 25,009 $2.13M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.4% 11,921 11,912 $1.72M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5.2% 14,948 14,815 $1.41M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.5% 25,405 11,418 $936K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 2.4% 12,309 12,125 $656K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.4% 51,299 45,295 $642K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 8,380 7,531 $571K
78815 Positron emission tomography (PET) for limited area imaging 1.8% 400 398 $480K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.2% 19,566 19,238 $329K
99223 Prolong inpt eval add15 m 1.2% 4,437 4,361 $313K
171 more codes
99204 Doctor's office visit, new patient (more involved) 1.0% 2,321 $276K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,190 $267K
93000 <1% 9,029 $218K
87428 <1% 3,148 $207K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 4,076 $197K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 2,747 $197K
99239 Hospital discharge day management, more than 30 minutes <1% 3,827 $178K
J9271 Injection, pembrolizumab, 1 mg <1% 14 $164K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 432 $157K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,746 $152K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 8,531 $152K
99222 Initial hospital care, per day, moderate complexity <1% 2,185 $148K
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries <1% 409 $132K
99205 Prolong outpt/office vis <1% 865 $125K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 2,421 $121K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 4,932 $120K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 3,760 $103K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance <1% 3,512 $94K
96367 <1% 1,521 $91K
90686 <1% 7,697 $63K
51701 <1% 570 $60K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour <1% 1,018 $60K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 7,233 $54K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 1,413 $51K
99255 <1% 375 $49K
77014 <1% 1,621 $42K
71046 Radiologic examination, chest; 2 views <1% 2,642 $39K
77427 <1% 332 $39K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 3,156 $38K
99152 <1% 984 $38K
92551 <1% 2,943 $35K
0001A <1% 883 $35K
0002A <1% 848 $34K
77067 Screening mammography, bilateral, including computer-aided detection <1% 358 $34K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 555 $33K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 68 $33K
93296 <1% 1,698 $33K
96375 Therapeutic injection; each additional sequential IV push <1% 813 $33K
93458 <1% 136 $31K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 3,345 $30K
93297 <1% 2,190 $29K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes <1% 345 $25K
93295 <1% 635 $24K
81002 <1% 9,452 $22K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 442 $21K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 913 $21K
76830 Ultrasound, transvaginal <1% 396 $20K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 136 $20K
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 1,381 $19K
0054A <1% 396 $16K
99221 <1% 511 $15K
73630 <1% 783 $13K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 763 $13K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 746 $12K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 43 $12K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose <1% 56 $12K
73564 <1% 647 $11K
0071A <1% 281 $11K
85018 <1% 3,787 $11K
J1453 Injection, fosaprepitant, 1 mg <1% 88 $11K
0072A <1% 270 $11K
A9585 Injection, gadobutrol, 0.1 ml <1% 485 $10K
73610 <1% 530 $10K
91320 <1% 76 $10K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units <1% 61 $10K
76642 <1% 202 $9K
99173 <1% 2,554 $9K
77063 Screening digital breast tomosynthesis, bilateral <1% 358 $8K
93351 <1% 29 $8K
93294 <1% 587 $8K
99238 Hospital discharge day management, 30 minutes or less <1% 288 $8K
J2469 Injection, palonosetron hcl, 25 mcg <1% 400 $8K
J2785 Injection, regadenoson, 0.1 mg <1% 43 $8K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results <1% 1,188 $8K
96361 Intravenous infusion, hydration; each additional hour <1% 332 $8K
0124A <1% 170 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 190 $6K
0004A <1% 149 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 37 $6K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 128 $5K
99000 <1% 3,392 $5K
71250 <1% 68 $5K
0003A <1% 115 $5K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 936 $4K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 300 $4K
90656 <1% 413 $4K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 46 $4K
93016 <1% 139 $4K
90480 <1% 103 $4K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 38 $4K
77066 Tomosynthesis, mammo <1% 44 $4K
43259 <1% 25 $4K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 24 $4K
76536 <1% 76 $4K
90670 <1% 1,341 $3K
74018 <1% 203 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 601 $3K
99308 Subsequent nursing facility care, per day, straightforward <1% 120 $3K
93299 <1% 387 $3K
93018 <1% 139 $3K
81025 <1% 1,003 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 415 $3K
77334 <1% 37 $3K
0052A <1% 68 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 12 $3K
93290 <1% 253 $2K
77062 <1% 28 $2K
93280 <1% 125 $2K
97161 <1% 26 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 $2K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 26 $2K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 166 $2K
99243 <1% 12 $2K
80053 Comprehensive metabolic panel <1% 175 $2K
73140 <1% 116 $1K
73130 <1% 81 $1K
99153 Mod sedat endo service >5yrs <1% 73 $1K
46600 <1% 12 $1K
96417 <1% 32 $1K
90647 <1% 573 $1K
0082A <1% 30 $1K
90723 <1% 552 $1K
77263 <1% 12 $1K
93971 <1% 12 $1K
81003 <1% 549 $1K
93350 <1% 12 $992.90
51741 <1% 24 $977.25
43237 <1% 12 $969.03
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 313 $921.62
0051A <1% 23 $910.00
90680 <1% 358 $888.25
73030 <1% 62 $882.50
76770 <1% 26 $818.86
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 13 $783.64
99305 <1% 12 $727.00
77300 <1% 17 $640.42
0081A <1% 16 $640.00
99306 Prolong nursin fac eval 15m <1% 30 $635.58
20610 <1% 15 $632.81
0083A <1% 14 $560.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 64 $554.60
99442 <1% 37 $541.23
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 26 $522.44
99307 <1% 59 $430.92
90633 <1% 301 $387.00
96523 <1% 17 $362.34
99406 <1% 27 $356.05
72110 <1% 12 $349.47
91322 <1% 16 $295.10
73110 <1% 12 $240.84
99499 <1% 14 $221.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 27 $207.54
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 3,069 $168.96
90685 <1% 43 $131.35
90677 <1% 121 $126.00
90696 <1% 44 $103.24
94760 <1% 401 $68.93
90688 <1% 32 $66.90
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg <1% 31 $57.29
90651 <1% 46 $36.00
90710 <1% 39 $27.00
90716 <1% 24 $27.00
90707 <1% 12 $18.00
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 58 $11.30
3074F <1% 199 $0.01
3078F 0% 308 $0.00
90734 0% 12 $0.00
36415 Collection of venous blood by venipuncture 0% 292 $0.00
3079F 0% 38 $0.00
99443 0% 15 $0.00
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 0% 13 $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 officialTHOMAS, MIKE (PRESIDENT AND CEO)
Same official

Other billing entities under THOMAS, MIKE

Full network →
ProviderLocationPaid
John Muir Trauma Physicians Billing ServiceWalnut Creek, CA$328K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.