Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Pinole › NPI 1154630051

Thomas J. Mampalam, M.D. a Professional Corporation

Thomas J. Mampalam, M.D. a Professional Corporation was paid $87K by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 99205, Prolong outpt/office vis — 58% of everything it billed.

33Billing provider infoTHOMAS J. MAMPALAM, M.D. A PROFESSIONAL CORPORATION
PINOLE, CA 94564
33aNPI1154630051assigned 09/27/2010
33bProvider typeSpecialist
28Total paid$87K
24GClaims2,436
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#540 of 1,230
Median peer was paid$51K
This provider vs. median1.7×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2018398$8K
2019533$17K
2020408$13K
2021434$17K
2022307$13K
2023195$7K
2024incomplete161$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99205 Prolong outpt/office vis 58% 1,185 1,183 $51K
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 40% 1,135 1,111 $35K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 90 83 $977.09
62323 <1% 26 26 $739.92

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 officialTHOMAS, MAY (OFFICE MANAGER)