Physician
Widjaja, Armand
Widjaja, Armand was paid $10K by Medicaid between Jan 2018 and Jun 2018, across 5 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 82% of everything it billed.
33Billing provider infoWIDJAJA, ARMAND
IRVINE, CA 92604
IRVINE, CA 92604
33aNPI1336335322assigned 09/24/2007
33bProvider typePediatrics Physician
28Total paid$10K
24GClaims413
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#805 of 1,490
Median peer was paid$15K
This provider vs. median0.6×
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 | 413 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 82% | 186 | 186 | $8K |
| 92551 | 13% | 108 | 108 | $1K | |
| 99173 | 2.6% | 78 | 78 | $250.62 | |
| 90658 | 1.6% | 17 | 17 | $153.00 | |
| 85999 | <1% | 24 | 24 | $72.24 |
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.