Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Westminster › NPI 1154420024
Physician

San Bartolome, Mario

San Bartolome, Mario was paid $293K by Medicaid between Apr 2020 and Aug 2023, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoSAN BARTOLOME, MARIO
WESTMINSTER, CA 92683
33aNPI1154420024assigned 09/21/2006
28Total paid$293K
24GClaims8,837
24DCodes billed11
24AFirst – last monthApr 2020 – Aug 2023
Compared with peers

Next to other Adolescent Medicine (Family Medicine) Physician providers in California

Rank by total paid#2 of 15
Median peer was paid$2K
This provider vs. median136×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020540$14K
20213,933$116K
20223,144$125K
20231,220$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 6,092 5,006 $192K
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 21% 1,138 1,000 $62K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.4% 138 137 $10K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3.2% 78 77 $9K
80305 1.7% 448 388 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1.6% 208 199 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.4% 181 172 $4K
97811 1.3% 243 163 $4K
97810 <1% 242 163 $2K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 17 16 $189.33
99000 <1% 52 46 $173.56

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.