Clinic
Kelvin Mai, D.O., INC
Kelvin Mai, D.O., INC was paid $159K by Medicaid between Jan 2018 and Dec 2024, across 86 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoKELVIN MAI, D.O., INC
SANTA ANA, CA 92703
SANTA ANA, CA 92703
33aNPI1437485513assigned 10/26/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$159K
24GClaims79,228
24DCodes billed86
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#128 of 422
Median peer was paid$25K
This provider vs. median6.5×
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 | 6,969 | $13K | |
| 2019 | 2,469 | $4K | |
| 2020 | 9,049 | $25K | |
| 2021 | 15,030 | $38K | |
| 2022 | 19,001 | $22K | |
| 2023 | 16,356 | $27K | |
| 2024incomplete | 10,354 | $30K |
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 | 37% | 26,294 | 20,955 | $59K |
| 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 | 12% | 5,472 | 5,353 | $20K |
| 99497 | 11% | 1,662 | 1,650 | $18K | |
| 99454 | 9.5% | 1,245 | 1,238 | $15K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 3.2% | 2,738 | 2,494 | $5K |
| 99457 | 3.1% | 1,183 | 1,183 | $5K | |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | 2.3% | 595 | 516 | $4K |
| 99498 | 2.2% | 299 | 299 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 1,309 | 1,251 | $3K |
| 36415 | Collection of venous blood by venipuncture | 1.8% | 3,022 | 2,937 | $3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 1.5% | 993 | 988 | $2K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 1.5% | 136 | 130 | $2K |
74 more codes
| 96156 | 1.4% | 133 | $2K | |
| 99458 | 1.3% | 456 | $2K | |
| G0008 | Administration of influenza virus vaccine | 1.1% | 1,721 | $2K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 1.0% | 2,853 | $2K |
| 99349 | <1% | 228 | $2K | |
| 90661 | <1% | 109 | $1K | |
| 90688 | <1% | 1,200 | $1K | |
| 99091 | <1% | 296 | $1K | |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 653 | $912.31 |
| 99453 | <1% | 183 | $724.14 | |
| J0897 | Injection, denosumab, 1 mg | <1% | 262 | $624.81 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 82 | $546.12 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 481 | $496.42 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 316 | $453.56 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,637 | $417.40 |
| 20610 | <1% | 98 | $408.12 | |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | <1% | 747 | $402.65 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 55 | $339.10 |
| G0372 | Physician service required to establish and document the need for a power mobility device | <1% | 247 | $328.10 |
| 93000 | <1% | 113 | $322.01 | |
| 90686 | <1% | 122 | $310.15 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 115 | $309.22 |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 26 | $306.06 |
| Q2035 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) | <1% | 388 | $220.51 |
| 3074F | <1% | 849 | $84.86 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 91 | $75.29 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $57.20 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 444 | $45.79 |
| 1159F | <1% | 409 | $25.00 | |
| 99490 | Ccm add 20min | <1% | 75 | $19.50 |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 86 | $14.37 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $14.29 |
| 99407 | <1% | 41 | $7.80 | |
| 1157F | <1% | 203 | $0.09 | |
| 3008F | <1% | 1,198 | $0.04 | |
| 1160F | <1% | 1,240 | $0.02 | |
| G0136 | Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months | <1% | 172 | $0.01 |
| G8482 | Influenza immunization administered or previously received | 0% | 1,234 | $0.00 |
| 2022F | 0% | 413 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 585 | $0.00 |
| 3078F | 0% | 667 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 518 | $0.00 |
| 3015F | 0% | 248 | $0.00 | |
| 4040F | 0% | 346 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 47 | $0.00 |
| 4004F | 0% | 27 | $0.00 | |
| 3288F | 0% | 31 | $0.00 | |
| 1003F | 0% | 148 | $0.00 | |
| 3725F | 0% | 34 | $0.00 | |
| 1090F | 0% | 28 | $0.00 | |
| 99491 | Ccm add 20min | 0% | 17 | $0.00 |
| 1101F | 0% | 1,006 | $0.00 | |
| 1036F | 0% | 1,982 | $0.00 | |
| 1170F | 0% | 1,641 | $0.00 | |
| 1126F | 0% | 508 | $0.00 | |
| 3079F | 0% | 541 | $0.00 | |
| G9664 | Patients who are currently statin therapy users or received an order (prescription) for statin therapy | 0% | 1,158 | $0.00 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 823 | $0.00 |
| 1125F | 0% | 871 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 156 | $0.00 |
| 3075F | 0% | 378 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 777 | $0.00 |
| 99385 | 0% | 38 | $0.00 | |
| 3066F | 0% | 563 | $0.00 | |
| 3060F | 0% | 532 | $0.00 | |
| 90656 | 0% | 32 | $0.00 | |
| 3014F | 0% | 217 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 96 | $0.00 |
| 3017F | 0% | 1,000 | $0.00 | |
| 3044F | 0% | 144 | $0.00 | |
| 1111F | 0% | 12 | $0.00 | |
| 3048F | 0% | 30 | $0.00 | |
| 3072F | 0% | 26 | $0.00 | |
| 99335 | 0% | 14 | $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 officialORANTES, SANDRA (CREDENTIALING MANAGER)