Physician
Marshall Medical Center
Marshall Medical Center was paid $1.55M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoMARSHALL MEDICAL CENTER
PLACERVILLE, CA 95667
PLACERVILLE, CA 95667
33aNPI1962506097assigned 09/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$1.55M
24GClaims32,643
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#101 of 2,679
Median peer was paid$13K
This provider vs. median123×
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 | 3,827 | $159K | |
| 2019 | 3,872 | $166K | |
| 2020 | 3,962 | $172K | |
| 2021 | 5,011 | $292K | |
| 2022 | 4,584 | $229K | |
| 2023 | 5,997 | $243K | |
| 2024incomplete | 5,390 | $293K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 8,339 | 7,917 | $451K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 24% | 7,852 | 3,721 | $365K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 8,371 | 7,685 | $307K |
| 99239 | Hospital discharge day management, more than 30 minutes | 10% | 2,924 | 2,866 | $158K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.7% | 3,087 | 1,383 | $119K |
| 99223 | Prolong inpt eval add15 m | 6.8% | 1,253 | 1,246 | $105K |
| 97597 | 1.5% | 507 | 315 | $23K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 1.2% | 169 | 75 | $18K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 69 | 37 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 72 | 61 | $1K |
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 officialNELSON, SIRI (CEO)
| Provider | Location | Paid |
|---|---|---|
| Marshall Medical Center | Placerville, CA | $33.81M |
| Marshall Medical Center | Placerville, CA | $1.17M |
| Marshall Medical Center | Cameron Park, CA | $596K |
| Marshall Medical Center | Diamond Springs, CA | $260K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.