Physician
Pacific Perinatal Institute
Pacific Perinatal Institute was paid $1.96M by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 59425, — 35% of everything it billed.
33Billing provider infoPACIFIC PERINATAL INSTITUTE
COLTON, CA 92324
COLTON, CA 92324
33aNPI1942692777assigned 03/03/2015
33bProvider typeObstetrics & Gynecology Physician
28Total paid$1.96M
24GClaims34,152
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#70 of 791
Median peer was paid$67K
This provider vs. median29×
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 | 5,228 | $313K | |
| 2019 | 4,542 | $266K | |
| 2020 | 4,849 | $259K | |
| 2021 | 5,137 | $284K | |
| 2022 | 3,881 | $218K | |
| 2023 | 5,494 | $305K | |
| 2024incomplete | 5,021 | $310K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 35% | 10,228 | 6,573 | $683K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 26% | 5,030 | 4,698 | $505K |
| 76813 | 11% | 3,193 | 2,970 | $208K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 10% | 7,946 | 7,501 | $203K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 4.7% | 2,207 | 2,190 | $92K |
| Z1034 | 4.4% | 1,883 | 1,229 | $86K | |
| 99243 | 3.7% | 1,147 | 1,142 | $72K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.4% | 567 | 557 | $47K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 1.3% | 844 | 825 | $25K |
| 76801 | <1% | 386 | 366 | $15K | |
| 59430 | <1% | 134 | 83 | $6K | |
| 76820 | <1% | 183 | 97 | $5K |
11 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 130 | $2K |
| 99242 | <1% | 28 | $1K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 26 | $1K |
| 90715 | <1% | 12 | $1K | |
| G9920 | Screening performed and negative | <1% | 106 | $956.69 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $860.16 |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 15 | $646.37 |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 16 | $608.16 |
| 76827 | <1% | 13 | $385.89 | |
| 93325 | <1% | 12 | $152.12 | |
| 3351F | 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 officialVALENZUELA, GUILLERMO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Valley Obstetrics & Gynecology Medical Group, INC. | Colton, CA | $10.24M |
| Mommy and Me Medical Group, INC. | Riverside, CA | $7.78M |
| Inland Faculty Specialists, a California Professional Corporation | Riverside, CA | $3.32M |
| Valenzuela Medical Group I, INC. | Moreno Valley, CA | $705K |
| Guillermo Valenzuela MD PA | Plantation, FL | $134K |
| Senior's Choice Medical Group, INC. | Fontana, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.