Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

California Nursing Consultants

California Nursing Consultants was paid $37K by Medicaid between Mar 2022 and Oct 2024, across 18 billing codes. Its largest line is G0318, Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) — 29% of everything it billed.

33Billing provider infoCALIFORNIA NURSING CONSULTANTS
CORONA, CA 92881
33aNPI1891388286assigned 02/16/2021
28Total paid$37K
24GClaims3,955
24DCodes billed18
24AFirst – last monthMar 2022 – Oct 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#947 of 2,511
Median peer was paid$13K
This provider vs. median2.8×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2022286$2K
20231,694$11K
2024incomplete1,975$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0318 Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99345, 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99417). (do not report g0318 for any time unit less than 15 minutes) 29% 456 447 $11K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 27% 317 305 $10K
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans 16% 414 414 $6K
99490 Ccm add 20min 8.2% 659 652 $3K
99497 8.0% 765 749 $3K
99496 3.3% 28 25 $1K
99350 Prolong home eval add 15m 2.0% 454 437 $732.32
99349 2.0% 68 68 $718.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care 1.6% 26 26 $602.44
99439 1.6% 519 514 $575.65
99443 <1% 13 12 $348.66
93970 <1% 14 14 $138.84
6 more codes
99345 Prolong home eval add 15m <1% 24 $93.36
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 74 $0.00
93925 0% 27 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 0% 28 $0.00
1123F 0% 20 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 0% 49 $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 officialPAULE, HOLY DOVE (PRESIDENT/CEO)