San Marcos Medical Group INC.

San Marcos Medical Group INC. was paid $50K by Medicaid between Jan 2018 and Oct 2023, across 24 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 48% of everything it billed.

33Billing provider infoSAN MARCOS MEDICAL GROUP INC.
RIVERSIDE, CA 92504

33aNPI1952351686assigned 05/11/2006

33bProvider typeFamily Medicine Physician

28Total paid$50K

24GClaims3,043

24DCodes billed24

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#841 of 2,511

Median peer was paid$13K

This provider vs. median3.9×

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	1,198	$21K
2019	706	$15K
2020	743	$8K
2021	288	$5K
2022	51	$1K
2023	57	$334.16

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	48%	853	774	$24K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	42%	867	812	$21K
Z1034		5.7%	52	37	$3K
81025		1.4%	299	287	$698.01
Z6410		<1%	52	37	$397.44
93000		<1%	13	13	$338.34
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	<1%	129	128	$283.00
99000		<1%	145	136	$277.61
S0197	Prenatal vitamins, 30-day supply	<1%	154	86	$191.22
59425		<1%	31	14	$119.76
85014		<1%	52	52	$89.10
H1003	Prenatal care, at-risk enhanced service; education	<1%	31	14	$16.66

12 more codes

85018		<1%	36	$4.85
99173		0%	40	$0.00
99204	Doctor's office visit, new patient (more involved)	0%	17	$0.00
82947		0%	16	$0.00
97802		0%	38	$0.00
2001F		0%	14	$0.00
H0049	Alcohol and/or drug screening	0%	39	$0.00
88141		0%	16	$0.00
3008F		0%	108	$0.00
92551		0%	13	$0.00
G8510	Screening for depression is documented as negative, a follow-up plan is not required	0%	14	$0.00
99441		0%	14	$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 officialBALBIR, NATT (MD/ PRESIDENT)

Same official

Other billing entities under BALBIR, NATT

Full network →

Provider	Location	Paid
San Marcos Medical Group INC.	Fontana, CA	$5.60M
San Marcos Medical Group INC.	San Bernardino, CA	$901K
San Marcos Medical Group INC.	San Bernardino, CA	$322K
San Marcos Medical Group INC	Fontana, CA	$8K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.