Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Seven Star Medical Group INC.

Seven Star Medical Group INC. was paid $186K by Medicaid between Nov 2022 and Nov 2024, across 11 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 34% of everything it billed.

33Billing provider infoSEVEN STAR MEDICAL GROUP INC.
HEMET, CA 92543
33aNPI1982207064assigned 11/19/2020
28Total paid$186K
24GClaims6,108
24DCodes billed11
24AFirst – last monthNov 2022 – Nov 2024
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#475 of 2,679
Median peer was paid$13K
This provider vs. median15×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
202227$791.14
20233,195$99K
2024incomplete2,886$86K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 34% 1,801 1,790 $63K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 16% 1,652 1,604 $30K
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 15% 739 720 $29K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 12% 393 393 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12% 906 886 $22K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10% 279 278 $19K
S9083 Global fee urgent care centers <1% 15 13 $195.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 75 73 $58.71
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 38 36 $25.66
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 102 95 $6.92
81002 <1% 108 106 $4.26

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 officialCOTA, SOPHIE (OPERATIONS MANAGER)
Same official

Other billing entities under COTA, SOPHIE

Full network →
ProviderLocationPaid
Seven Star Medical Group INC.Hemet, CA$543K
Seven Star Medical Group INC.Hemet, CA$312K
Seven Star Medical Group INC.Hemet, CA$4K
Seven Star Medical Group INC.Hemet, CA$950.40

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