Physician
Optimum Care Network INC.
Optimum Care Network INC. was paid $514K by Medicaid between Feb 2018 and Nov 2024, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 35% of everything it billed.
33Billing provider infoOPTIMUM CARE NETWORK INC.
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1063944627assigned 03/31/2017
33bProvider typeInternal Medicine Physician
28Total paid$514K
24GClaims22,112
24DCodes billed8
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#234 of 2,679
Median peer was paid$13K
This provider vs. median41×
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 | 980 | $50K | |
| 2019 | 923 | $38K | |
| 2020 | 2,448 | $49K | |
| 2021 | 1,462 | $54K | |
| 2022 | 2,562 | $82K | |
| 2023 | 5,062 | $118K | |
| 2024incomplete | 8,675 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 35% | 11,283 | 2,028 | $182K |
| 99223 | Prolong inpt eval add15 m | 34% | 2,716 | 2,589 | $174K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 2,869 | 796 | $64K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | 8.7% | 3,689 | 3,606 | $45K |
| 99239 | Hospital discharge day management, more than 30 minutes | 8.1% | 752 | 740 | $42K |
| 99305 | 1.3% | 535 | 513 | $7K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 146 | 140 | $1K |
| 1111F | 0% | 122 | 119 | $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 officialSOHAIL, MEERA (PRESIDENT)