Physician
On Call Specialists Medical Group of San Diego, INC.
On Call Specialists Medical Group of San Diego, INC. was paid $950K by Medicaid between Nov 2021 and Nov 2024, across 21 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 41% of everything it billed.
33Billing provider infoON CALL SPECIALISTS MEDICAL GROUP OF SAN DIEGO, INC.
SAN DIEGO, CA 92103
SAN DIEGO, CA 92103
33aNPI1962175836assigned 07/27/2021
33bProvider typePsychiatry Physician
28Total paid$950K
24GClaims27,412
24DCodes billed21
24AFirst – last monthNov 2021 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in California
Rank by total paid#57 of 483
Median peer was paid$24K
This provider vs. median40×
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 | |
|---|---|---|---|
| 2021 | 1,487 | $36K | |
| 2022 | 7,976 | $188K | |
| 2023 | 7,403 | $301K | |
| 2024incomplete | 10,546 | $425K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 41% | 12,255 | 3,044 | $390K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 20% | 6,179 | 1,864 | $191K |
| 99223 | Prolong inpt eval add15 m | 10% | 1,516 | 1,479 | $97K |
| 99255 | 10% | 1,171 | 1,135 | $96K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 7.8% | 4,044 | 776 | $74K |
| 99254 | 4.9% | 767 | 749 | $47K | |
| 77071 | 1.1% | 490 | 446 | $11K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 70 | 70 | $9K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 181 | 82 | $8K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 196 | 196 | $6K |
| 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% | 120 | 114 | $4K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | <1% | 49 | 46 | $4K |
9 more codes
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 159 | $4K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 81 | $2K |
| 43235 | <1% | 12 | $2K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 21 | $2K |
| 99253 | <1% | 39 | $2K | |
| 43273 | <1% | 13 | $726.14 | |
| 90836 | <1% | 24 | $712.70 | |
| 20610 | <1% | 12 | $314.17 | |
| 74300 | <1% | 13 | $159.24 |
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 officialCOURIS, MICHAEL (PRESIDENT)