Mosaic Family Care Medical Group, INC.
Mosaic Family Care Medical Group, INC. was paid $950K by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 56% of everything it billed.
33Billing provider infoMOSAIC FAMILY CARE MEDICAL GROUP, INC.
LOS ANGELES, CA 90032
LOS ANGELES, CA 90032
33aNPI1891830568assigned 02/21/2007
33bProvider typeSpecialist
28Total paid$950K
24GClaims100,837
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#196 of 1,230
Median peer was paid$51K
This provider vs. median18×
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 | 12,914 | $392K | |
| 2019 | 15,055 | $339K | |
| 2020 | 9,490 | $37K | |
| 2021 | 12,678 | $42K | |
| 2022 | 18,521 | $44K | |
| 2023 | 17,822 | $46K | |
| 2024incomplete | 14,357 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 56% | 1,793 | 1,687 | $536K |
| 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% | 11,989 | 11,206 | $96K |
| 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 | 9.7% | 7,889 | 7,586 | $93K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.1% | 184 | 154 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.0% | 1,318 | 1,304 | $29K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 2.3% | 755 | 432 | $22K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.1% | 2,643 | 941 | $20K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 2,026 | 1,042 | $14K |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.3% | 1,152 | 1,079 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 539 | 517 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 488 | 487 | $9K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,280 | 1,192 | $8K |
63 more codes
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 281 | $8K |
| 99497 | <1% | 715 | $7K | |
| 99490 | Ccm add 20min | <1% | 525 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 685 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 357 | $5K |
| 99305 | <1% | 80 | $5K | |
| 90686 | <1% | 619 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 135 | $2K |
| G3002 | Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care, e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (when using g3002, 30 minutes must be met or exceeded.) | <1% | 152 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 416 | $2K |
| 99000 | <1% | 1,345 | $1K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 100 | $1K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 13 | $1K |
| 82947 | <1% | 1,480 | $949.53 | |
| 93000 | <1% | 157 | $820.99 | |
| 1160F | <1% | 6,541 | $702.22 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 319 | $598.25 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,589 | $547.41 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $407.86 |
| 85018 | <1% | 1,045 | $381.79 | |
| 90688 | <1% | 25 | $354.76 | |
| 3008F | <1% | 12,395 | $338.17 | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 287 | $330.90 |
| 1036F | <1% | 8,195 | $287.17 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 195 | $283.70 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 542 | $262.83 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 564 | $230.20 |
| 1125F | <1% | 1,776 | $201.26 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 79 | $191.48 |
| 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) | <1% | 74 | $167.40 |
| 1126F | <1% | 5,904 | $158.35 | |
| 90662 | <1% | 18 | $156.26 | |
| 3074F | <1% | 6,781 | $149.64 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 49 | $123.17 |
| 0001A | <1% | 62 | $120.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 144 | $84.56 |
| 0013A | <1% | 42 | $80.46 | |
| 0002A | <1% | 49 | $80.00 | |
| G0008 | Administration of influenza virus vaccine | <1% | 25 | $54.85 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 33 | $51.31 |
| 92551 | <1% | 13 | $44.08 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 13 | $39.56 |
| 92228 | <1% | 12 | $26.66 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $20.27 |
| 3075F | 0% | 523 | $0.00 | |
| 3079F | 0% | 882 | $0.00 | |
| 3048F | 0% | 153 | $0.00 | |
| 3044F | 0% | 91 | $0.00 | |
| 1031F | 0% | 274 | $0.00 | |
| 3351F | 0% | 23 | $0.00 | |
| A9150 | Non-prescription drugs | 0% | 15 | $0.00 |
| G9226 | Foot examination performed (includes examination through visual inspection, sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork, pinprick sensation, ankle reflexes, or vibration perception threshold, and pulse exam; report when all of the 3 components are completed) | 0% | 13 | $0.00 |
| 4037F | 0% | 12 | $0.00 | |
| 91301 | 0% | 13 | $0.00 | |
| 3078F | 0% | 7,480 | $0.00 | |
| 3077F | 0% | 423 | $0.00 | |
| 1159F | 0% | 4,598 | $0.00 | |
| 90461 | 0% | 26 | $0.00 | |
| 2028F | 0% | 79 | $0.00 | |
| 1033F | 0% | 269 | $0.00 | |
| 1158F | 0% | 12 | $0.00 | |
| 3045F | 0% | 12 | $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 officialSILVA, JUAN (MD/CEO)