Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pelayo, Arturo

Pelayo, Arturo was paid $108K by Medicaid between Jan 2018 and Jun 2023, across 3 billing codes. Its largest line is 99285, emergency room visit (most serious) — 78% of everything it billed.

33Billing provider infoPELAYO, ARTURO
LYNWOOD, CA 90262
33aNPI1205882883assigned 05/26/2006
28Total paid$108K
24GClaims1,374
24DCodes billed3
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Emergency Medicine Physician providers in California

Rank by total paid#349 of 988
Median peer was paid$32K
This provider vs. median3.4×

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$2.0K$4.0K2018201920202021202220232024
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
2018312$20K
2019337$22K
2020237$17K
2021221$22K
2022185$19K
202382$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 78% 925 916 $84K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 22% 259 258 $24K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 190 189 $387.94

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.