Gary Wikholm M D a Professional Corporation

Gary Wikholm M D a Professional Corporation was paid $217K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 99309, Subsequent nursing facility care, per day, low to moderate complexity — 75% of everything it billed.

33Billing provider infoGARY WIKHOLM M D A PROFESSIONAL CORPORATION
SANTA PAULA, CA 93060

33aNPI1053417725assigned 09/16/2006

33bProvider typeFamily Medicine Physician

28Total paid$217K

24GClaims4,927

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#424 of 2,511

Median peer was paid$13K

This provider vs. median17×

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	1,117	$8K
2019	795	$36K
2020	643	$21K
2021	751	$43K
2022	681	$45K
2023	664	$48K
2024incomplete	276	$16K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99309	Subsequent nursing facility care, per day, low to moderate complexity	75%	2,846	2,766	$162K
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	23%	1,841	1,706	$50K
99305		1.3%	38	38	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	176	168	$1K
90686		<1%	14	14	$385.12
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	12	12	$4.46

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 officialKESSLER, AGI (MANAGER)