Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Mission Viejo › NPI 1265512982
Physician

Ly, Phuong

Ly, Phuong was paid $97K by Medicaid between Jun 2020 and Jun 2022, across 25 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 36% of everything it billed.

33Billing provider infoLY, PHUONG
MISSION VIEJO, CA 92691
33aNPI1265512982assigned 10/17/2006
28Total paid$97K
24GClaims5,305
24DCodes billed25
24AFirst – last monthJun 2020 – Jun 2022
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#637 of 2,511
Median peer was paid$13K
This provider vs. median7.5×

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$5.0K$10K2018201920202021202220232024
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
2020658$6K
20213,003$49K
20221,644$43K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 36% 486 472 $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 30% 814 739 $29K
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 12% 230 214 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 11% 333 299 $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 7.1% 83 73 $7K
94760 1.5% 227 190 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.5% 75 71 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 13 13 $675.54
G9920 Screening performed and negative <1% 15 14 $383.00
81002 <1% 78 75 $131.66
1036F 0% 404 335 $0.00
1126F 0% 238 210 $0.00
13 more codes
3074F 0% 135 $0.00
1125F 0% 54 $0.00
3008F 0% 241 $0.00
1170F 0% 250 $0.00
96156 0% 20 $0.00
1160F 0% 460 $0.00
3078F 0% 78 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 0% 92 $0.00
1159F 0% 484 $0.00
1003F 0% 240 $0.00
4004F 0% 163 $0.00
99001 0% 72 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 20 $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.