Physician
Wilches, Alberto
Wilches, Alberto was paid $110K by Medicaid between Jan 2018 and May 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoWILCHES, ALBERTO
PARAMOUNT, CA 90723
PARAMOUNT, CA 90723
33aNPI1124130943assigned 08/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$110K
24GClaims29,845
24DCodes billed30
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#588 of 2,511
Median peer was paid$13K
This provider vs. median8.6×
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 | 1,462 | $64.75 | |
| 2019 | 5,871 | $2K | |
| 2020 | 5,348 | $413.70 | |
| 2021 | 4,849 | $13K | |
| 2022 | 5,284 | $48K | |
| 2023 | 5,551 | $37K | |
| 2024incomplete | 1,480 | $11K |
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 | 34% | 1,176 | 1,091 | $37K |
| 99442 | 33% | 1,300 | 1,225 | $36K | |
| 1036F | 14% | 2,914 | 2,739 | $15K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 11% | 2,860 | 2,685 | $12K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 6.6% | 2,032 | 1,848 | $7K |
| 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 | <1% | 1,171 | 1,130 | $865.31 |
| 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% | 978 | 921 | $445.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 12 | $310.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 35 | 27 | $289.87 |
| 1111F | <1% | 13 | 12 | $30.00 | |
| 1160F | <1% | 1,900 | 1,736 | $4.14 | |
| 1159F | <1% | 1,764 | 1,612 | $4.11 |
18 more codes
| 3725F | <1% | 2,546 | $4.02 | |
| 3008F | <1% | 2,000 | $3.76 | |
| 1126F | <1% | 2,126 | $3.70 | |
| 3078F | <1% | 1,774 | $3.05 | |
| 3074F | <1% | 2,164 | $3.04 | |
| 3048F | <1% | 97 | $0.41 | |
| 3061F | <1% | 103 | $0.37 | |
| 1158F | <1% | 184 | $0.13 | |
| 96150 | <1% | 297 | $0.09 | |
| 3050F | <1% | 12 | $0.06 | |
| 1125F | <1% | 351 | $0.04 | |
| 96156 | 0% | 732 | $0.00 | |
| 1170F | 0% | 823 | $0.00 | |
| 3075F | 0% | 65 | $0.00 | |
| 3079F | 0% | 118 | $0.00 | |
| 3080F | 0% | 229 | $0.00 | |
| 1100F | 0% | 34 | $0.00 | |
| 3288F | 0% | 34 | $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.