Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Laguna Hills › NPI 1427103365
Physician

Wilkinson, Mary Ann

Wilkinson, Mary Ann was paid $21K by Medicaid between Jan 2018 and Jan 2023, across 22 billing codes. Its largest line is 90686, — 17% of everything it billed.

33Billing provider infoWILKINSON, MARY ANN
LAGUNA HILLS, CA 92653
33aNPI1427103365assigned 01/23/2007
28Total paid$21K
24GClaims4,032
24DCodes billed22
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in California

Rank by total paid#43 of 66
Median peer was paid$61K
This provider vs. median0.3×

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$500$1.0K$1.5K2018201920202021202220232024
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
2018403$3K
2019485$4K
2020575$4K
20211,095$5K
20221,352$6K
2023122$225.63
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90686 17% 399 399 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 1,347 1,313 $3K
96151 14% 133 133 $3K
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 13% 513 485 $3K
96156 13% 376 376 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.6% 37 37 $2K
99050 5.8% 25 25 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.1% 12 12 $848.76
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.0% 13 13 $626.99
G9920 Screening performed and negative 1.7% 238 238 $355.25
92551 <1% 12 12 $157.92
90674 <1% 17 17 $153.00
10 more codes
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 265 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 0% 152 $0.00
97802 0% 12 $0.00
S9451 Exercise classes, non-physician provider, per session 0% 12 $0.00
87428 0% 59 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 12 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 249 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 74 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 63 $0.00
99173 0% 12 $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.