Physician
Physicians Medical Group of San Jose, INC.
Physicians Medical Group of San Jose, INC. was paid $22K by Medicaid between Jan 2018 and Dec 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.
SAN JOSE, CA 95132
SAN JOSE, CA 95132
33aNPI1891175444assigned 06/08/2015
33bProvider typeFamily Medicine Physician
28Total paid$22K
24GClaims16,514
24DCodes billed31
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,092 of 2,511
Median peer was paid$13K
This provider vs. median1.7×
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.
Entity ProliferationAuthorized official CASTILLO, EMILY controls 20+ related entities in our dataset. Read more
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 | 2,002 | $4K | |
| 2019 | 2,618 | $4K | |
| 2020 | 1,986 | $2K | |
| 2021 | 2,688 | $3K | |
| 2022 | 3,335 | $5K | |
| 2023 | 1,546 | $3K | |
| 2024incomplete | 2,339 | $695.70 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 5,509 | 4,929 | $6K |
| 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 | 26% | 6,241 | 5,739 | $6K |
| 90686 | 20% | 236 | 235 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 10% | 889 | 881 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.7% | 1,720 | 1,619 | $1K |
| 90658 | 2.6% | 34 | 32 | $565.10 | |
| 90674 | 2.3% | 15 | 15 | $492.35 | |
| 90670 | 1.5% | 13 | 13 | $336.34 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 1.5% | 163 | 155 | $324.87 |
| 90700 | 1.4% | 30 | 30 | $297.60 | |
| 90715 | <1% | 13 | 13 | $212.58 | |
| 90713 | <1% | 18 | 18 | $178.56 |
19 more codes
| 90648 | <1% | 12 | $119.04 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 247 | $107.14 |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 148 | $30.25 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 366 | $20.38 |
| 93000 | <1% | 20 | $18.35 | |
| 1159F | 0% | 39 | $0.00 | |
| 3078F | 0% | 151 | $0.00 | |
| 1160F | 0% | 39 | $0.00 | |
| 81002 | 0% | 39 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 105 | $0.00 |
| 99442 | 0% | 63 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 119 | $0.00 |
| 99497 | 0% | 18 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 84 | $0.00 |
| 81005 | 0% | 13 | $0.00 | |
| 3074F | 0% | 95 | $0.00 | |
| 3075F | 0% | 41 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 82962 | 0% | 21 | $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 officialCASTILLO, EMILY (ASSOCIATE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Optumcare New Mexico LLC | Albuquerque, NM | $23.64M |
| Southwest Medical Associates, INC | Las Vegas, NV | $15.80M |
| Optumcare Colorado Medical Group LLC | Colorado Springs, CO | $8.74M |
| The Corvallis Clinic P C | Corvallis, OR | $8.06M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $6.70M |
| Sierra Home Medical Products INC | Las Vegas, NV | $6.20M |
| Southwest Medical Associates INC. | Las Vegas, NV | $5.20M |
| Optum Medical Group Rhodes P C | Las Vegas, NV | $4.43M |
| Family Health Care Services, INC | Las Vegas, NV | $4.39M |
| 4C Medical Group PLC | Scottsdale, AZ | $4.28M |
| Greater Phoenix Collaborative Care PC | Phoenix, AZ | $3.18M |
| Beaver Medical Group P C | Redlands, CA | $2.88M |
| Sierra Home Medical Products, INC | Las Vegas, NV | $2.40M |
| Centers for Family Medicine GP | Los Alamitos, CA | $2.39M |
| Optum Medical Group II Rhodes P C | Las Vegas, NV | $1.77M |
| Family Home Hospice, INC. | Las Vegas, NV | $1.42M |
| Surprise Health Center, PLLC | Surprise, AZ | $1.20M |
| Doc Martins INC a C C | Flagstaff, AZ | $1.08M |
| New West Physicians INC | Golden, CO | $970K |
| Southwest Medical Associates, INC | Las Vegas, NV | $612K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.