Physician
Center for Rheumatology Medical Corporation
Center for Rheumatology Medical Corporation was paid $28K by Medicaid between Jan 2023 and Oct 2024, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 80% of everything it billed.
33Billing provider infoCENTER FOR RHEUMATOLOGY MEDICAL CORPORATION
LOS ANGELES, CA 90048
LOS ANGELES, CA 90048
33aNPI1982911160assigned 09/09/2010
33bProvider typeRheumatology Physician
28Total paid$28K
24GClaims10,221
24DCodes billed48
24AFirst – last monthJan 2023 – Oct 2024
Compared with peers
Next to other Rheumatology Physician providers in California
Rank by total paid#82 of 147
Median peer was paid$43K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 3,475 | $17K | |
| 2024incomplete | 6,746 | $11K |
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 | 80% | 1,324 | 1,218 | $22K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 9.2% | 280 | 232 | $3K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | 1.9% | 160 | 151 | $543.22 |
| 80053 | Comprehensive metabolic panel | 1.3% | 772 | 745 | $373.99 |
| 20552 | 1.1% | 43 | 41 | $300.27 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.1% | 801 | 770 | $297.43 |
| J0897 | Injection, denosumab, 1 mg | 1.1% | 14 | 14 | $296.01 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 412 | 398 | $279.72 |
| 86235 | <1% | 85 | 84 | $256.12 | |
| 86140 | <1% | 803 | 776 | $188.49 | |
| 85651 | <1% | 787 | 760 | $139.84 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 13 | $78.46 |
36 more codes
| 96401 | <1% | 44 | $67.06 | |
| 83520 | <1% | 44 | $60.91 | |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 274 | $37.42 |
| 86160 | <1% | 107 | $35.28 | |
| 86161 | <1% | 106 | $35.28 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 35 | $34.60 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 145 | $29.01 |
| 86037 | <1% | 14 | $23.62 | |
| 86021 | <1% | 14 | $14.75 | |
| 80061 | Lipid panel | <1% | 12 | $13.12 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 119 | $9.52 |
| 1123F | 0% | 781 | $0.00 | |
| 83550 | 0% | 58 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 79 | $0.00 |
| 86225 | 0% | 44 | $0.00 | |
| 82607 | 0% | 66 | $0.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 34 | $0.00 |
| 82728 | 0% | 59 | $0.00 | |
| 83735 | 0% | 157 | $0.00 | |
| 82784 | 0% | 57 | $0.00 | |
| 82550 | 0% | 13 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 837 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 117 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 772 | $0.00 |
| 76882 | 0% | 92 | $0.00 | |
| 84100 | 0% | 149 | $0.00 | |
| 20611 | 0% | 82 | $0.00 | |
| G8399 | Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | 0% | 33 | $0.00 |
| 84439 | 0% | 77 | $0.00 | |
| 83540 | 0% | 70 | $0.00 | |
| 83970 | 0% | 94 | $0.00 | |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 0% | 35 | $0.00 |
| 82523 | 0% | 58 | $0.00 | |
| 77080 | 0% | 12 | $0.00 | |
| 84550 | 0% | 12 | $0.00 | |
| 86039 | 0% | 24 | $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 officialHORIZON, ARASH (CFO)