Physician
Specialty Medical Group Central California - Dept of Otolaryngology
Specialty Medical Group Central California - Dept of Otolaryngology was paid $11K by Medicaid between Sep 2019 and Apr 2020, across 6 billing codes. Its largest line is 42820, Tonsillectomy and adenoidectomy; younger than age 12 — 41% of everything it billed.
33Billing provider infoSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF OTOLARYNGOLOGY
MADERA, CA 93636
MADERA, CA 93636
33aNPI1861673246assigned 11/14/2007
33bProvider typeOtolaryngology Physician
28Total paid$11K
24GClaims992
24DCodes billed6
24AFirst – last monthSep 2019 – Apr 2020
Compared with peers
Next to other Otolaryngology Physician providers in California
Rank by total paid#109 of 168
Median peer was paid$67K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2019 | 575 | $5K | |
| 2020 | 417 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 41% | 155 | 155 | $5K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 22% | 74 | 74 | $2K |
| 99243 | 10% | 184 | 184 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 9.7% | 181 | 181 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.8% | 198 | 185 | $968.02 |
| 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 | 8.1% | 200 | 191 | $888.80 |
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 officialKAJI, DEVONNA (PRESIDENT AND MEDICAL DIRECTOR)
Parent organizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
| Provider | Location | Paid |
|---|---|---|
| Specialty Medical Group Central California - Dept of Modesto | Modesto, CA | $152K |
| Specialty Medical Group Central California - Dept of Orthopedics | Madera, CA | $9K |
| Specialty Medical Group Central California - Dept of Medicine | Madera, CA | $3K |
| Specialty Medical Group Central California INC. - Dept of Neurology | Madera, CA | $111.10 |
| Specialty Medical Group - Dept of Perinatology | Madera, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.