Southern California Permanente Medical Group
Southern California Permanente Medical Group was paid $6.92M by Medicaid between Jan 2018 and Dec 2024, across 224 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
BAKERSFIELD, CA 93301
Next to other Health Maintenance Organization providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 43,417 | $8K | |
| 2019 | 55,762 | $7K | |
| 2020 | 50,589 | $17K | |
| 2021 | 71,161 | $389K | |
| 2022 | 74,257 | $740K | |
| 2023 | 100,207 | $1.42M | |
| 2024incomplete | 165,936 | $4.34M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 42,307 | 41,386 | $2.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.6% | 43,290 | 41,952 | $598K |
| 91320 | 4.6% | 1,963 | 1,961 | $315K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.5% | 11,236 | 10,932 | $174K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.4% | 4,339 | 4,332 | $163K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.2% | 1,621 | 1,532 | $149K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.1% | 34,186 | 34,076 | $143K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 2.0% | 409 | 408 | $139K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.8% | 3,007 | 2,999 | $127K |
| 90480 | 1.8% | 2,461 | 2,457 | $123K | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.6% | 2,135 | 1,688 | $108K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.4% | 24,603 | 22,370 | $100K |
212 more codes
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 6,142 | $96K |
| 90662 | 1.0% | 629 | $72K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 2,501 | $70K |
| 80051 | <1% | 15,848 | $66K | |
| 82565 | <1% | 19,567 | $66K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 3,554 | $66K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 344 | $64K |
| 85027 | <1% | 26,885 | $61K | |
| 92015 | Determination of refractive state | <1% | 12,826 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 2,602 | $52K |
| 86141 | <1% | 8,010 | $51K | |
| 84460 | <1% | 16,574 | $50K | |
| 76830 | Ultrasound, transvaginal | <1% | 1,482 | $48K |
| 71250 | <1% | 214 | $48K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 1,605 | $45K |
| 83880 | <1% | 891 | $42K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,007 | $42K |
| 0001A | <1% | 1,065 | $42K | |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 243 | $42K |
| 90686 | <1% | 14,878 | $41K | |
| 0002A | <1% | 1,029 | $41K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,537 | $40K |
| 77080 | <1% | 910 | $39K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 262 | $37K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 64 | $35K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 902 | $34K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,367 | $33K |
| 0012A | <1% | 892 | $33K | |
| 82247 | <1% | 11,517 | $32K | |
| 84075 | <1% | 10,650 | $32K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 1,849 | $32K |
| 0011A | <1% | 874 | $30K | |
| 0064A | <1% | 738 | $30K | |
| 84450 | <1% | 9,245 | $30K | |
| 73630 | <1% | 2,129 | $29K | |
| 76536 | <1% | 376 | $28K | |
| 76770 | <1% | 349 | $28K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 8,012 | $27K |
| 73564 | <1% | 874 | $25K | |
| 73030 | <1% | 1,022 | $24K | |
| 84520 | <1% | 10,445 | $23K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 559 | $23K |
| 90677 | <1% | 501 | $23K | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 625 | $22K |
| 84702 | <1% | 5,766 | $22K | |
| 92551 | <1% | 6,342 | $21K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 651 | $21K |
| 76642 | <1% | 1,239 | $21K | |
| 73562 | <1% | 956 | $20K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 531 | $19K |
| 82310 | <1% | 4,377 | $19K | |
| 99442 | <1% | 267 | $19K | |
| 73130 | <1% | 959 | $18K | |
| 0004A | <1% | 447 | $18K | |
| 73610 | <1% | 1,170 | $18K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 358 | $17K |
| 97161 | <1% | 211 | $17K | |
| 73110 | <1% | 807 | $17K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 245 | $17K |
| 82570 | <1% | 4,320 | $16K | |
| 72100 | <1% | 670 | $16K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,341 | $16K |
| 64615 | <1% | 68 | $15K | |
| 82040 | <1% | 4,355 | $15K | |
| 92523 | <1% | 138 | $14K | |
| 73502 | <1% | 287 | $13K | |
| 83735 | <1% | 3,180 | $13K | |
| 85610 | <1% | 4,859 | $13K | |
| 0071A | <1% | 320 | $13K | |
| 90656 | <1% | 1,993 | $12K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 40 | $12K |
| 83690 | <1% | 4,699 | $12K | |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 82 | $11K |
| 82248 | <1% | 3,092 | $11K | |
| 77066 | Tomosynthesis, mammo | <1% | 145 | $11K |
| 0072A | <1% | 267 | $11K | |
| 0124A | <1% | 360 | $11K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,113 | $11K |
| 81003 | <1% | 9,932 | $10K | |
| 82947 | <1% | 6,549 | $10K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 46 | $10K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 286 | $10K |
| 84156 | <1% | 4,164 | $10K | |
| 0054A | <1% | 227 | $9K | |
| 0134A | <1% | 274 | $9K | |
| 90670 | <1% | 859 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,494 | $9K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 62 | $9K |
| 90651 | <1% | 274 | $9K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 360 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 408 | $8K |
| 92134 | <1% | 272 | $8K | |
| 92002 | <1% | 703 | $8K | |
| 84100 | <1% | 1,987 | $7K | |
| 84484 | <1% | 1,122 | $7K | |
| 92504 | <1% | 264 | $7K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 29 | $7K |
| 84155 | <1% | 2,020 | $7K | |
| 85652 | <1% | 5,766 | $6K | |
| 90734 | <1% | 81 | $6K | |
| 95800 | <1% | 39 | $6K | |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | <1% | 601 | $6K |
| 73140 | <1% | 378 | $5K | |
| 81002 | <1% | 3,339 | $5K | |
| 85730 | <1% | 970 | $5K | |
| 84132 | <1% | 1,220 | $5K | |
| 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% | 10,814 | $5K |
| 0031A | <1% | 117 | $4K | |
| 99441 | <1% | 113 | $4K | |
| 74018 | <1% | 380 | $4K | |
| 73221 | <1% | 25 | $4K | |
| 90710 | <1% | 41 | $4K | |
| 90723 | <1% | 392 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 200 | $3K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 365 | $3K |
| 90648 | <1% | 1,315 | $3K | |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 140 | $3K |
| 72040 | <1% | 104 | $3K | |
| 90674 | <1% | 511 | $3K | |
| 98968 | <1% | 150 | $3K | |
| 84295 | <1% | 740 | $3K | |
| 87449 | <1% | 289 | $3K | |
| 87324 | <1% | 287 | $3K | |
| 99173 | <1% | 3,435 | $2K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 49 | $2K |
| 85014 | <1% | 1,803 | $2K | |
| 85018 | <1% | 1,316 | $2K | |
| 82950 | <1% | 1,694 | $2K | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 12 | $2K |
| 20610 | <1% | 14 | $2K | |
| 94729 | <1% | 13 | $2K | |
| 82105 | <1% | 271 | $2K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 26 | $2K |
| 94726 | <1% | 13 | $2K | |
| 76813 | <1% | 64 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 120 | $2K |
| 99177 | <1% | 1,369 | $2K | |
| 73080 | <1% | 122 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,549 | $2K |
| J7999 | Compounded drug, not otherwise classified | <1% | 26 | $1K |
| 81025 | <1% | 504 | $1K | |
| 84550 | <1% | 353 | $1K | |
| 73590 | <1% | 53 | $1K | |
| A9575 | Injection, gadoterate meglumine, 0.1 ml | <1% | 109 | $1K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 506 | $1K |
| 85379 | <1% | 153 | $1K | |
| 94060 | <1% | 13 | $1K | |
| 83605 | <1% | 158 | $1K | |
| 72082 | <1% | 72 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 472 | $1K |
| 90633 | <1% | 283 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 317 | $866.19 |
| 20526 | <1% | 12 | $798.00 | |
| 82951 | <1% | 119 | $740.57 | |
| 91319 | <1% | 26 | $733.78 | |
| 85046 | <1% | 98 | $705.34 | |
| 82140 | <1% | 82 | $690.79 | |
| 83615 | <1% | 168 | $677.37 | |
| 99188 | <1% | 102 | $648.00 | |
| 81329 | <1% | 36 | $585.00 | |
| 0013A | <1% | 14 | $568.26 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 745 | $564.87 |
| 0154A | <1% | 16 | $553.00 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 41 | $551.91 |
| 0052A | <1% | 13 | $535.12 | |
| 99051 | <1% | 22,685 | $526.10 | |
| 90655 | <1% | 132 | $504.00 | |
| 90660 | <1% | 57 | $380.00 | |
| 82550 | <1% | 108 | $353.55 | |
| 87205 | <1% | 105 | $337.64 | |
| 87210 | <1% | 737 | $326.12 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 80 | $321.37 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 194 | $305.26 |
| 90681 | <1% | 47 | $302.00 | |
| 82952 | <1% | 106 | $230.80 | |
| 71045 | Radiologic examination, chest; single view | <1% | 12 | $200.00 |
| J2003 | Injection, lidocaine hydrochloride, 1 mg | <1% | 14 | $188.80 |
| 87807 | <1% | 64 | $163.48 | |
| 81015 | <1% | 50 | $144.00 | |
| 90696 | <1% | 16 | $126.00 | |
| 73660 | <1% | 13 | $90.00 | |
| 82272 | <1% | 31 | $86.08 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 13 | $64.00 |
| 90672 | <1% | 40 | $56.00 | |
| 90658 | <1% | 71 | $40.21 | |
| 82962 | <1% | 75 | $26.51 | |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 55 | $22.11 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $3.80 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 40 | $3.35 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $0.25 |
| G9920 | Screening performed and negative | <1% | 6,537 | $0.17 |
| 1036F | 0% | 13,027 | $0.00 | |
| 82043 | 0% | 40 | $0.00 | |
| 86140 | 0% | 883 | $0.00 | |
| 99024 | 0% | 136 | $0.00 | |
| 3074F | 0% | 34 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 45 | $0.00 |
| 92227 | 0% | 12 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 109 | $0.00 |
| 87088 | 0% | 32 | $0.00 | |
| 99239 | Hospital discharge day management, more than 30 minutes | 0% | 12 | $0.00 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 0% | 24 | $0.00 |
| 90661 | 0% | 576 | $0.00 | |
| 90838 | 0% | 45 | $0.00 | |
| 81220 | CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants | 0% | 12 | $0.00 |
| 99201 | 0% | 14 | $0.00 | |
| 90700 | 0% | 13 | $0.00 | |
| 3078F | 0% | 28 | $0.00 | |
| 99307 | 0% | 15 | $0.00 | |
| 80061 | Lipid panel | 0% | 43 | $0.00 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 13 | $0.00 |
| 87631 | 0% | 32 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.