Craniofacial/Cleft Palate Program
Craniofacial/Cleft Palate Program was paid $160K by Medicaid between Jan 2018 and Sep 2024, across 10 billing codes. Its largest line is X4301, — 27% of everything it billed.
33Billing provider infoCRANIOFACIAL/CLEFT PALATE PROGRAM
LOS ANGELES, CA 90007
LOS ANGELES, CA 90007
33aNPI1093959900assigned 04/22/2009
33bProvider typeSpecialist
28Total paid$160K
24GClaims4,369
24DCodes billed10
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#456 of 1,230
Median peer was paid$51K
This provider vs. median3.1×
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 | 696 | $27K | |
| 2019 | 977 | $32K | |
| 2020 | 529 | $15K | |
| 2021 | 756 | $19K | |
| 2022 | 404 | $11K | |
| 2023 | 672 | $35K | |
| 2024incomplete | 335 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X4301 | 27% | 722 | 722 | $44K | |
| X4300 | 27% | 720 | 719 | $44K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 131 | 116 | $19K |
| Z4302 | 10% | 1,091 | 1,087 | $17K | |
| Z4306 | 6.6% | 211 | 209 | $11K | |
| Z4301 | 5.7% | 546 | 530 | $9K | |
| Z4310 | 3.9% | 654 | 642 | $6K | |
| Z4303 | 3.1% | 167 | 163 | $5K | |
| Z4304 | 2.9% | 88 | 88 | $5K | |
| X4501 | <1% | 39 | 39 | $1K |
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 officialWILSON, LIBBY (PLASTIC SURGEON)
| Provider | Location | Paid |
|---|---|---|
| Libby Wilson MD INC | Los Angeles, CA | $332K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.