Physician
Pacific Shores Medical Group, INC.
Pacific Shores Medical Group, INC. was paid $218K by Medicaid between Jan 2018 and Jul 2021, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.
33Billing provider infoPACIFIC SHORES MEDICAL GROUP, INC.
GLENDALE, CA 91204
GLENDALE, CA 91204
33aNPI1871642991assigned 01/09/2007
33bProvider typeHematology & Oncology Physician
28Total paid$218K
24GClaims18,963
24DCodes billed37
24AFirst – last monthJan 2018 – Jul 2021
Compared with peers
Next to other Hematology & Oncology Physician providers in California
Rank by total paid#33 of 180
Median peer was paid$26K
This provider vs. median8.5×
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 | 6,797 | $32K | |
| 2019 | 7,559 | $88K | |
| 2020 | 3,314 | $77K | |
| 2021 | 1,293 | $22K |
Box 24 · Service lines
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 | 23% | 1,905 | 1,828 | $50K |
| J0885 | Injection, epoetin alfa, (for non-esrd use), 1000 units | 17% | 346 | 153 | $36K |
| J1439 | Injection, ferric carboxymaltose, 1 mg | 12% | 127 | 106 | $25K |
| J3490 | Unclassified drugs | 7.7% | 675 | 444 | $17K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.0% | 1,119 | 1,098 | $15K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 6.9% | 726 | 439 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 5.6% | 1,558 | 708 | $12K |
| 96367 | 5.0% | 1,189 | 745 | $11K | |
| Q5106 | Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units | 4.3% | 117 | 39 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.8% | 191 | 176 | $6K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.2% | 210 | 72 | $5K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | 1.7% | 303 | 201 | $4K |
25 more codes
| 80053 | Comprehensive metabolic panel | 1.5% | 1,134 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 367 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,431 | $1K |
| J1626 | Injection, granisetron hydrochloride, 100 mcg | <1% | 375 | $1K |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 844 | $778.33 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 327 | $526.03 |
| 36592 | <1% | 45 | $459.05 | |
| 82608 | <1% | 42 | $446.53 | |
| 82728 | <1% | 468 | $404.35 | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $375.67 |
| 86300 | <1% | 115 | $318.17 | |
| 83540 | <1% | 597 | $152.75 | |
| 82607 | <1% | 76 | $145.16 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,646 | $104.18 |
| 82378 | <1% | 448 | $34.56 | |
| 83550 | <1% | 596 | $34.38 | |
| 96417 | <1% | 15 | $28.30 | |
| 83615 | <1% | 447 | $27.73 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 54 | $24.79 |
| 82746 | <1% | 134 | $13.25 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 206 | $12.34 |
| 83735 | <1% | 16 | $12.04 | |
| 84550 | <1% | 17 | $4.92 | |
| 84100 | 0% | 71 | $0.00 | |
| 99205 | Prolong outpt/office vis | 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 officialTCHEKMEDYIAN, NERSES (CEO)
| Provider | Location | Paid |
|---|---|---|
| Pacific Shores Medical Group, INC. | Long Beach, CA | $7K |
| Pacific Shores Medical Group, INC | Huntington Beach, CA | $671.28 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.