Managed care
New Light Medical Group, INC.
New Light Medical Group, INC. was paid $3.33M by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoNEW LIGHT MEDICAL GROUP, INC.
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1912133364assigned 05/29/2009
33bProvider typeExclusive Provider Organization
28Total paid$3.33M
24GClaims115,783
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#2 of 55
Median peer was paid$90K
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
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 | 17,299 | $449K | |
| 2019 | 22,504 | $539K | |
| 2020 | 18,440 | $638K | |
| 2021 | 18,766 | $670K | |
| 2022 | 15,144 | $544K | |
| 2023 | 17,261 | $387K | |
| 2024incomplete | 6,369 | $106K |
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 | 15% | 16,363 | 15,052 | $501K |
| 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 | 15% | 11,543 | 11,048 | $499K |
| 96156 | 15% | 6,824 | 6,809 | $493K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.1% | 4,285 | 3,673 | $269K |
| 97802 | 7.0% | 8,467 | 8,425 | $235K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 3,470 | 3,469 | $213K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.9% | 3,963 | 3,951 | $198K |
| G9920 | Screening performed and negative | 4.2% | 7,300 | 7,245 | $139K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.0% | 5,522 | 5,364 | $134K |
| 92552 | 3.3% | 6,827 | 6,789 | $109K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.2% | 2,528 | 2,505 | $108K |
| 96151 | 2.4% | 3,067 | 3,045 | $81K |
37 more codes
| 96127 | 2.1% | 5,326 | $69K | |
| 97803 | 1.9% | 2,687 | $65K | |
| 90686 | 1.2% | 5,057 | $41K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 881 | $38K |
| 85013 | <1% | 7,802 | $27K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,771 | $19K |
| 81000 | <1% | 3,477 | $14K | |
| 90651 | <1% | 1,086 | $10K | |
| 99173 | <1% | 623 | $9K | |
| 90670 | <1% | 990 | $9K | |
| 90734 | <1% | 601 | $5K | |
| 99406 | <1% | 421 | $5K | |
| 90698 | <1% | 555 | $5K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 254 | $5K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 73 | $5K |
| 90685 | <1% | 538 | $4K | |
| 99442 | <1% | 71 | $4K | |
| 90633 | <1% | 484 | $4K | |
| 99000 | <1% | 693 | $3K | |
| 90680 | <1% | 298 | $3K | |
| 90619 | <1% | 305 | $2K | |
| 83655 | <1% | 230 | $2K | |
| 90715 | <1% | 259 | $2K | |
| 86580 | <1% | 213 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 60 | $1K |
| 90744 | <1% | 120 | $1K | |
| 90620 | <1% | 107 | $963.00 | |
| 90672 | <1% | 78 | $816.70 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 74 | $544.35 |
| 99188 | <1% | 27 | $502.74 | |
| 90656 | <1% | 53 | $477.00 | |
| 90710 | <1% | 53 | $386.73 | |
| 90696 | <1% | 52 | $377.73 | |
| 90671 | <1% | 30 | $205.38 | |
| 90700 | <1% | 12 | $44.55 | |
| 99402 | 0% | 39 | $0.00 | |
| 96160 | 0% | 224 | $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 officialLEE, JEONG-OK (PRESIDENT)