Physician
Specialty Medical Group Central California, INC.
Specialty Medical Group Central California, INC. was paid $233K by Medicaid between Aug 2018 and Jun 2019, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.
MADERA, CA 93636
MADERA, CA 93636
33aNPI1992073209assigned 12/01/2011
33bProvider typePediatrics Physician
28Total paid$233K
24GClaims6,171
24DCodes billed23
24AFirst – last monthAug 2018 – Jun 2019
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#333 of 1,490
Median peer was paid$15K
This provider vs. median16×
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 | 2,458 | $76K | |
| 2019 | 3,713 | $157K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,998 | 1,952 | $86K |
| 99051 | 19% | 1,329 | 1,305 | $45K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 11% | 808 | 801 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.4% | 265 | 263 | $15K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.6% | 115 | 113 | $11K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.4% | 46 | 45 | $8K |
| 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 | 2.9% | 293 | 287 | $7K |
| 99243 | 2.5% | 102 | 102 | $6K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 108 | 108 | $5K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.7% | 124 | 124 | $4K |
| 81002 | 1.6% | 135 | 135 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.5% | 182 | 174 | $3K |
11 more codes
| 93000 | 1.3% | 85 | $3K | |
| J7610 | Albuterol, inhalation solution, compounded product, administered through dme, concentrated form, 1 mg | <1% | 105 | $2K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 104 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 105 | $2K |
| J3490 | Unclassified drugs | <1% | 32 | $1K |
| 93325 | <1% | 27 | $1K | |
| 94760 | <1% | 93 | $810.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $650.00 |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14 | $622.08 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 77 | $267.48 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | $176.17 |
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 officialMURPHY, JEROME (PRESIDENT)
Parent organizationSPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA, INC.