Physician
Pacific Neuropsychiatric Specialists INC.
Pacific Neuropsychiatric Specialists INC. was paid $5.23M by Medicaid between Jun 2019 and Nov 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoPACIFIC NEUROPSYCHIATRIC SPECIALISTS INC.
COSTA MESA, CA 92626
COSTA MESA, CA 92626
33aNPI1356685218assigned 11/15/2012
33bProvider typePsychiatry Physician
28Total paid$5.23M
24GClaims77,465
24DCodes billed14
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in California
Rank by total paid#12 of 483
Median peer was paid$24K
This provider vs. median217×
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 | |
|---|---|---|---|
| 2019 | 406 | $18.09 | |
| 2020 | 1,992 | $38K | |
| 2021 | 5,480 | $106K | |
| 2022 | 7,428 | $150K | |
| 2023 | 17,965 | $1.13M | |
| 2024incomplete | 44,194 | $3.80M |
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 | 44% | 37,248 | 34,995 | $2.31M |
| 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 | 32% | 21,597 | 19,505 | $1.70M |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 9.1% | 11,498 | 10,844 | $476K |
| 99205 | Prolong outpt/office vis | 7.2% | 2,720 | 2,709 | $376K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 2,561 | 1,813 | $239K |
| 99417 | Prolong home eval add 15m | 1.4% | 575 | 211 | $75K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 366 | 344 | $25K |
| 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 | <1% | 68 | 58 | $14K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 582 | 539 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | 56 | $4K |
| 80305 | <1% | 97 | 94 | $979.16 | |
| 96132 | <1% | 26 | 25 | $793.59 |
2 more codes
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 officialALVA, ALEJANDRO (PRESIDENT)