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

Karpus Medical Group INC

Karpus Medical Group INC was paid $555K by Medicaid between Jan 2018 and Oct 2024, across 27 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 50% of everything it billed.

33Billing provider infoKARPUS MEDICAL GROUP INC
WOODLAND HILLS, CA 91364
33aNPI1902130016assigned 09/22/2009
33bProvider typePediatrics Physician
28Total paid$555K
24GClaims41,037
24DCodes billed27
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#208 of 1,490
Median peer was paid$15K
This provider vs. median37×

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$10K$20K2018201920202021202220232024
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
20184,946$42K
20195,268$79K
20204,422$79K
20215,133$108K
20224,606$84K
20235,935$105K
2024incomplete10,727$59K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99308 Subsequent nursing facility care, per day, straightforward 50% 18,462 18,345 $277K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 24% 9,017 7,189 $136K
99309 Subsequent nursing facility care, per day, low to moderate complexity 7.8% 1,970 1,961 $43K
99306 Prolong nursin fac eval 15m 5.8% 829 827 $32K
99307 4.8% 2,053 2,045 $27K
92552 1.7% 952 949 $10K
99334 1.1% 450 450 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 661 443 $6K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 103 103 $4K
85018 <1% 1,284 1,280 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 69 69 $3K
99173 <1% 1,069 1,064 $3K
15 more codes
90792 Psychiatric diagnostic evaluation with medical services <1% 142 $2K
99305 <1% 173 $2K
81002 <1% 738 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 13 $455.13
99347 <1% 588 $436.72
99213 Doctor's office visit, returning patient (routine) <1% 1,507 $44.02
99214 Doctor's office visit, returning patient (more involved) <1% 667 $36.72
69210 <1% 75 $27.41
99348 0% 42 $0.00
90836 0% 20 $0.00
94760 0% 81 $0.00
94644 0% 14 $0.00
90657 0% 30 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 12 $0.00
90656 0% 16 $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 officialKARPUS, EUGENE (PRESIDENT)