Managed care
Walsh Medical Group,a Professional Corporation
Walsh Medical Group,a Professional Corporation was paid $3.33M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 96156, — 31% of everything it billed.
33Billing provider infoWALSH MEDICAL GROUP,A PROFESSIONAL CORPORATION
ANAHEIM, CA 92805
ANAHEIM, CA 92805
33aNPI1114192390assigned 04/28/2008
33bProvider typePoint of Service
28Total paid$3.33M
24GClaims146,065
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#4 of 45
Median peer was paid$42K
This provider vs. median80×
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 | 12,592 | $259K | |
| 2019 | 22,817 | $478K | |
| 2020 | 21,566 | $604K | |
| 2021 | 23,433 | $660K | |
| 2022 | 25,023 | $701K | |
| 2023 | 25,666 | $531K | |
| 2024incomplete | 14,968 | $100K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 31% | 15,736 | 15,690 | $1.02M | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 6,138 | 6,128 | $295K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 3,977 | 3,968 | $221K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 9,563 | 9,061 | $219K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.4% | 5,128 | 5,116 | $215K |
| 92081 | 6.1% | 6,182 | 6,169 | $204K | |
| 92552 | 5.1% | 12,181 | 12,149 | $171K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.5% | 3,033 | 3,012 | $151K |
| G9920 | Screening performed and negative | 3.8% | 7,079 | 7,067 | $127K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.5% | 1,334 | 1,329 | $83K |
| 96151 | 1.7% | 2,574 | 2,553 | $58K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.7% | 4,263 | 4,252 | $55K |
36 more codes
| 96150 | 1.1% | 1,642 | $38K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 796 | $33K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,814 | $32K |
| 90658 | <1% | 4,200 | $31K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 2,491 | $31K |
| 80061 | Lipid panel | <1% | 2,895 | $31K |
| 85018 | <1% | 14,381 | $26K | |
| 90670 | <1% | 2,888 | $25K | |
| 81000 | <1% | 10,242 | $23K | |
| 99381 | <1% | 178 | $22K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 3,011 | $21K |
| 90700 | <1% | 2,245 | $19K | |
| 90633 | <1% | 1,996 | $17K | |
| 83655 | <1% | 1,565 | $16K | |
| 90716 | <1% | 1,894 | $16K | |
| 90707 | <1% | 1,848 | $16K | |
| 90698 | <1% | 1,710 | $15K | |
| 90657 | <1% | 1,748 | $14K | |
| 90744 | <1% | 1,374 | $12K | |
| 90734 | <1% | 1,229 | $11K | |
| 90713 | <1% | 1,223 | $11K | |
| 90649 | <1% | 1,039 | $9K | |
| 90648 | <1% | 1,049 | $9K | |
| 90651 | <1% | 1,027 | $8K | |
| 90715 | <1% | 899 | $8K | |
| 90681 | <1% | 642 | $6K | |
| 90620 | <1% | 607 | $4K | |
| 90680 | <1% | 186 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 73 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 184 | $1K |
| 90619 | <1% | 236 | $1K | |
| 86580 | <1% | 268 | $1K | |
| 90677 | <1% | 96 | $504.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $356.16 |
| 96127 | <1% | 21 | $101.01 | |
| 99173 | 0% | 167 | $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 officialMARTINEZ, LINDSAY (OFFICE MANAGER)
Parent organizationWALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Walsh Medical Group, a Professional Corporation | Anaheim, CA | $1.28M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.