O'brien, Walter

O'brien, Walter was paid $96K by Medicaid between Jan 2018 and Jul 2021, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoO'BRIEN, WALTER
LOS ANGELES, CA 90025

33aNPI1346290814assigned 05/12/2006

33bProvider typeSports Medicine (Family Medicine) Physician

28Total paid$96K

24GClaims1,515

24DCodes billed4

24AFirst – last monthJan 2018 – Jul 2021

Compared with peers

Next to other Sports Medicine (Family Medicine) Physician providers in California

Rank by total paid#2 of 19

Median peer was paid$1K

This provider vs. median65×

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	300	$12K
2019	472	$35K
2020	423	$27K
2021	320	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	73%	1,266	1,118	$70K
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	23%	177	177	$22K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.7%	41	41	$3K
99072		<1%	31	31	$358.31

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.