Managed care
Walsh Medical Group, a Professional Corporation
Walsh Medical Group, a Professional Corporation was paid $1.28M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 96156, — 32% of everything it billed.
33Billing provider infoWALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1407021421assigned 04/30/2008
33bProvider typePoint of Service
28Total paid$1.28M
24GClaims36,764
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Point of Service providers in California
Rank by total paid#8 of 45
Median peer was paid$42K
This provider vs. median31×
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 | 4,753 | $220K | |
| 2019 | 3,793 | $92K | |
| 2020 | 2,400 | $91K | |
| 2021 | 4,061 | $204K | |
| 2022 | 4,672 | $235K | |
| 2023 | 4,510 | $212K | |
| 2024incomplete | 12,575 | $223K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 32% | 5,635 | 5,585 | $411K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 2,954 | 2,764 | $144K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 1,120 | 1,109 | $94K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 1,591 | 1,589 | $88K |
| 92552 | 4.9% | 3,567 | 3,557 | $63K | |
| G9920 | Screening performed and negative | 4.0% | 2,843 | 2,827 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 1,005 | 1,004 | $51K |
| 92081 | 3.8% | 1,628 | 1,627 | $49K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 873 | 871 | $48K |
| 99381 | 3.4% | 360 | 360 | $43K | |
| 96150 | 2.8% | 646 | 646 | $36K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 2.5% | 353 | 336 | $32K |
34 more codes
| 99173 | 1.7% | 1,007 | $22K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 603 | $22K |
| 85018 | 1.5% | 4,076 | $19K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 239 | $15K |
| 81000 | <1% | 2,789 | $13K | |
| 96151 | <1% | 436 | $10K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 768 | $10K |
| 90461 | <1% | 97 | $10K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 415 | $10K |
| 90658 | <1% | 855 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 151 | $5K |
| 80061 | Lipid panel | <1% | 272 | $4K |
| 90670 | <1% | 454 | $3K | |
| 90698 | <1% | 410 | $3K | |
| 99462 | <1% | 127 | $3K | |
| 99460 | <1% | 40 | $2K | |
| 90744 | <1% | 251 | $2K | |
| 90681 | <1% | 213 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 26 | $1K |
| 90700 | <1% | 94 | $695.06 | |
| 90657 | <1% | 132 | $684.00 | |
| 90716 | <1% | 103 | $567.00 | |
| 90633 | <1% | 122 | $540.00 | |
| 86580 | <1% | 35 | $496.29 | |
| 90707 | <1% | 73 | $450.00 | |
| 90677 | <1% | 46 | $342.00 | |
| 83655 | <1% | 43 | $264.06 | |
| 90713 | <1% | 24 | $206.67 | |
| 90734 | <1% | 94 | $126.00 | |
| 90651 | <1% | 82 | $117.00 | |
| 90380 | <1% | 14 | $117.00 | |
| 90620 | <1% | 60 | $81.00 | |
| 90715 | <1% | 25 | $9.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 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 officialMARTINEZ, LINDSAY (OFFICE MANAGER)
Parent organizationWALSH MEDICAL GROUP, A PROFESSIONAL CORPORATION
| Provider | Location | Paid |
|---|---|---|
| Walsh Medical Group,a Professional Corporation | Anaheim, CA | $3.33M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.