Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Laguna Hills › NPI 1407860844
Physician

South Orange County Surgical Medical Group, INC.

South Orange County Surgical Medical Group, INC. was paid $10K by Medicaid between Jan 2018 and Jul 2023, across 3 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 82% of everything it billed.

33Billing provider infoSOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.
LAGUNA HILLS, CA 92653
33aNPI1407860844assigned 07/29/2006
28Total paid$10K
24GClaims490
24DCodes billed3
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers

Next to other Vascular Surgery Physician providers in California

Rank by total paid#53 of 91
Median peer was paid$17K
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

$0$1.0K$2.0K2018201920202021202220232024
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
201841$454.01
201944$810.06
202036$80.10
202160$2.80
2022101$2K
2023208$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 82% 212 206 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 247 239 $1K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 2.3% 31 13 $215.26

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 officialWALLACE, WILLIAM (CEO)
Same official

Other billing entities under WALLACE, WILLIAM

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.