Physician
Rofim Medical Group, INC.
Rofim Medical Group, INC. was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoROFIM MEDICAL GROUP, INC.
ORANGE, CA 92867
ORANGE, CA 92867
33aNPI1992802680assigned 09/17/2006
33bProvider typePediatrics Physician
28Total paid$1.13M
24GClaims41,594
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#116 of 1,490
Median peer was paid$15K
This provider vs. median76×
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 | 3,928 | $142K | |
| 2019 | 4,313 | $126K | |
| 2020 | 5,190 | $179K | |
| 2021 | 5,579 | $210K | |
| 2022 | 6,934 | $257K | |
| 2023 | 8,157 | $185K | |
| 2024incomplete | 7,493 | $35K |
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 | 30% | 8,913 | 7,782 | $341K |
| 96156 | 21% | 2,936 | 2,908 | $234K | |
| 97802 | 8.7% | 4,219 | 4,186 | $98K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.0% | 1,213 | 787 | $56K |
| G9920 | Screening performed and negative | 4.9% | 2,855 | 2,837 | $56K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.6% | 1,462 | 1,448 | $53K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 1,062 | 1,058 | $48K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 712 | 711 | $38K |
| 92551 | 2.7% | 2,818 | 2,799 | $30K | |
| 96151 | 2.2% | 986 | 978 | $25K | |
| 99173 | 1.8% | 488 | 482 | $20K | |
| S9470 | Nutritional counseling, dietitian visit | 1.5% | 444 | 444 | $17K |
27 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 456 | $17K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 793 | $17K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.2% | 896 | $13K |
| 90686 | <1% | 1,427 | $11K | |
| 81000 | <1% | 3,023 | $9K | |
| 96127 | <1% | 642 | $7K | |
| 85018 | <1% | 3,805 | $7K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 111 | $7K |
| 92552 | <1% | 149 | $5K | |
| H0049 | Alcohol and/or drug screening | <1% | 142 | $4K |
| 90670 | <1% | 445 | $4K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 205 | $3K |
| 83655 | <1% | 295 | $2K | |
| 90698 | <1% | 164 | $2K | |
| 96150 | <1% | 53 | $1K | |
| 99188 | <1% | 95 | $918.00 | |
| 90697 | <1% | 124 | $720.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $710.35 |
| 90671 | <1% | 228 | $603.00 | |
| 90651 | <1% | 76 | $477.00 | |
| 90633 | <1% | 79 | $435.00 | |
| 90685 | <1% | 40 | $377.86 | |
| 90734 | <1% | 39 | $351.00 | |
| 90656 | <1% | 111 | $207.00 | |
| 90680 | <1% | 13 | $117.00 | |
| 90619 | <1% | 45 | $27.00 | |
| 90620 | 0% | 13 | $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 officialRUIZ, CARA (PRESIDENT)