Physician
Acacia Family Medical Group
Acacia Family Medical Group was paid $209K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 92552, — 19% of everything it billed.
33Billing provider infoACACIA FAMILY MEDICAL GROUP
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1871603258assigned 08/30/2006
33bProvider typeObstetrics & Gynecology Physician
28Total paid$209K
24GClaims18,579
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#272 of 791
Median peer was paid$67K
This provider vs. median3.1×
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 | 3,228 | $31K | |
| 2019 | 2,243 | $14K | |
| 2020 | 2,244 | $17K | |
| 2021 | 2,393 | $21K | |
| 2022 | 3,222 | $37K | |
| 2023 | 3,423 | $55K | |
| 2024incomplete | 1,826 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92552 | 19% | 1,221 | 1,220 | $39K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 208 | 208 | $25K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 9,294 | 8,411 | $22K |
| 96127 | 10% | 3,060 | 3,006 | $21K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 280 | 280 | $21K |
| 90686 | 9.4% | 1,076 | 1,075 | $20K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.2% | 223 | 223 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 115 | 115 | $12K |
| 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 | 5.2% | 1,500 | 1,461 | $11K |
| 99173 | 3.2% | 1,059 | 1,058 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 64 | 64 | $4K |
| G9920 | Screening performed and negative | <1% | 35 | 35 | $2K |
20 more codes
| 90656 | <1% | 73 | $1K | |
| 90648 | <1% | 44 | $774.00 | |
| 90670 | <1% | 42 | $738.00 | |
| 90480 | <1% | 20 | $720.00 | |
| 0071A | <1% | 14 | $560.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13 | $264.64 |
| 90715 | <1% | 12 | $262.44 | |
| 90733 | <1% | 14 | $252.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 15 | $242.93 |
| 90651 | <1% | 13 | $234.00 | |
| 90723 | <1% | 14 | $234.00 | |
| 90680 | <1% | 14 | $234.00 | |
| 90677 | <1% | 13 | $225.00 | |
| 90685 | <1% | 12 | $216.00 | |
| 90671 | <1% | 12 | $216.00 | |
| 81003 | <1% | 13 | $22.00 | |
| 90662 | <1% | 26 | $3.56 | |
| 99499 | 0% | 18 | $0.00 | |
| 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) | 0% | 21 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 41 | $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 officialREDDY, SUMANA (PRESIDENT)