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

Lorna Kong-Thein MD Apc

Lorna Kong-Thein MD Apc was paid $764K by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 27% of everything it billed.

33Billing provider infoLORNA KONG-THEIN MD APC
SAN GABRIEL, CA 91776
33aNPI1396828554assigned 10/23/2006
33bProvider typePediatrics Physician
28Total paid$764K
24GClaims88,108
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#164 of 1,490
Median peer was paid$15K
This provider vs. median51×

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$10K$20K2018201920202021202220232024
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
201812,601$116K
201914,321$123K
202012,303$118K
202115,426$125K
202214,175$118K
202311,934$94K
2024incomplete7,348$70K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
96110 Developmental screening, with scoring and documentation, per standardized instrument 27% 8,580 8,536 $205K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 5,410 5,370 $121K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13% 2,821 2,764 $102K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.8% 3,012 3,004 $52K
92552 6.6% 6,669 6,649 $51K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.9% 3,167 3,046 $30K
90686 2.9% 3,694 3,685 $22K
90700 2.8% 3,634 3,628 $22K
90670 2.5% 2,977 2,972 $19K
90713 2.0% 2,554 2,549 $15K
90472 Immunization administration, each additional vaccine (list separately) 1.8% 5,267 5,171 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.7% 11,502 11,209 $13K
43 more codes
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.7% 908 $13K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1.5% 2,554 $11K
90681 1.2% 1,472 $9K
99381 1.1% 122 $8K
90647 1.0% 1,448 $8K
90648 <1% 1,123 $7K
90744 <1% 1,049 $7K
90633 <1% 1,287 $6K
90716 <1% 1,218 $6K
90707 <1% 1,199 $5K
99460 <1% 47 $3K
99173 <1% 5,376 $2K
90680 <1% 335 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 166 $2K
3008F <1% 6,209 $1K
99238 Hospital discharge day management, 30 minutes or less <1% 37 $966.02
99462 <1% 48 $947.18
90658 <1% 248 $878.35
90657 <1% 236 $813.00
90688 <1% 234 $662.30
90698 <1% 98 $649.00
90655 <1% 148 $593.75
85018 <1% 271 $437.13
69210 <1% 48 $300.44
90651 <1% 83 $297.00
90734 <1% 80 $228.00
86580 <1% 74 $194.92
90649 <1% 59 $118.00
90620 <1% 26 $89.00
96127 <1% 518 $37.69
90687 <1% 142 $20.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 514 $9.61
91320 0% 18 $0.00
99411 0% 390 $0.00
99401 0% 12 $0.00
99442 0% 124 $0.00
92081 0% 12 $0.00
99441 0% 564 $0.00
D0120 Dental checkup, returning patient 0% 24 $0.00
99174 0% 233 $0.00
97802 0% 24 $0.00
90480 0% 30 $0.00
92551 0% 13 $0.00

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 officialKONG-THEIN, LORNA (PRESIDENT OWNER)