Clinic
Newport Emergency Medical Group INC
Newport Emergency Medical Group INC was paid $7.25M by Medicaid between Jan 2018 and Jun 2024, across 22 billing codes. Its largest line is 99285, emergency room visit (most serious) — 54% of everything it billed.
33Billing provider infoNEWPORT EMERGENCY MEDICAL GROUP INC
NEWPORT BEACH, CA 92663
NEWPORT BEACH, CA 92663
33aNPI1922061779assigned 04/11/2006
33bProvider typeMedical Specialty Clinic/Center
28Total paid$7.25M
24GClaims131,222
24DCodes billed22
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Medical Specialty Clinic/Center providers in California
Rank by total paid#3 of 164
Median peer was paid$37K
This provider vs. median199×
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 | 17,330 | $848K | |
| 2019 | 15,992 | $907K | |
| 2020 | 13,865 | $705K | |
| 2021 | 18,649 | $986K | |
| 2022 | 20,317 | $1.13M | |
| 2023 | 28,985 | $1.65M | |
| 2024incomplete | 16,084 | $1.03M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 54% | 51,126 | 47,917 | $3.94M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 26% | 32,158 | 30,742 | $1.87M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 8.7% | 12,121 | 11,465 | $631K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 7.4% | 7,341 | 7,004 | $539K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.0% | 22,951 | 20,702 | $221K |
| 12001 | <1% | 227 | 224 | $17K | |
| 99053 | <1% | 548 | 504 | $7K | |
| 99220 | <1% | 161 | 158 | $5K | |
| 99401 | <1% | 611 | 575 | $5K | |
| 10061 | <1% | 57 | 53 | $4K | |
| 12011 | <1% | 39 | 39 | $3K | |
| 99236 | Prolong inpt eval add15 m | <1% | 13 | 13 | $2K |
10 more codes
| 29125 | <1% | 29 | $2K | |
| 99217 | <1% | 15 | $289.06 | |
| 99223 | Prolong inpt eval add15 m | <1% | 116 | $275.95 |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 68 | $105.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | <1% | 492 | $90.70 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,846 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 228 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 977 | $0.00 |
| G9532 | Patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma | 0% | 26 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 72 | $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 officialRICCI, RAYMOND (PRESIDENT)