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

California Face Institute Apc

California Face Institute Apc was paid $1.34M by Medicaid between Mar 2022 and Nov 2024, across 14 billing codes. Its largest line is 31242, — 26% of everything it billed.

33Billing provider infoCALIFORNIA FACE INSTITUTE APC
RIVERSIDE, CA 92506
33aNPI1306438858assigned 02/05/2021
33bProvider typeOtolaryngology Physician
28Total paid$1.34M
24GClaims10,080
24DCodes billed14
24AFirst – last monthMar 2022 – Nov 2024
Compared with peers

Next to other Otolaryngology Physician providers in California

Rank by total paid#14 of 168
Median peer was paid$67K
This provider vs. median20×

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$50K$100K$150K2018201920202021202220232024
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
20221,015$59K
20233,550$334K
2024incomplete5,515$946K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
31242 26% 190 188 $342K
30469 24% 259 256 $326K
31231 12% 2,973 2,884 $165K
99205 Prolong outpt/office vis 11% 1,653 1,644 $154K
30117 8.8% 271 263 $118K
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 7.8% 1,229 1,217 $105K
92504 2.3% 1,648 1,604 $31K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.1% 445 413 $28K
31575 1.7% 290 284 $23K
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 1.7% 483 453 $22K
30802 <1% 214 211 $11K
69210 <1% 363 348 $9K
2 more codes
31237 <1% 16 $3K
30801 <1% 46 $2K

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 officialGUPTA, AMAR (PRESIDENT)