Physician
Bolour, David
Bolour, David was paid $407.22 by Medicaid between Mar 2018 and Mar 2018, across 1 billing code. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 100% of everything it billed.
33Billing provider infoBOLOUR, DAVID
VENICE, CA 90291
VENICE, CA 90291
33aNPI1326308495assigned 05/23/2012
33bProvider typePediatrics Physician
28Total paid$407.22
24GClaims12
24DCodes billed1
24AFirst – last monthMar 2018 – Mar 2018
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#1,182 of 1,490
Median peer was paid$15K
This provider vs. median0.0×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12 | $407.22 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 100% | 12 | 12 | $407.22 |
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.