Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ALLIED PHYSICIANS OF CALIFORNIA, A PROFESSIONAL MEDICAL CORP

NPI: 1477760940 · ALHAMBRA, CA 91801 · Health Maintenance Organization · NPI assigned 05/16/2007

$2.90M
Total Medicaid Paid
406,726
Total Claims
386,246
Beneficiaries
418
Codes Billed
2018-01
First Month
2023-02
Last Month

Provider Details

Authorized OfficialLAM, THOMAS (CHAIRMAN)
NPI Enumeration Date05/16/2007

Related Entities

Other providers sharing the same authorized official: LAM, THOMAS

ProviderCityStateTotal Paid
1 WORLD MEDICINE URGENT CARE CORP MONTEREY PARK CA $5.41M
ASTRANA CARE HOSPITALISTS, A MEDICAL CORPORATION ALHAMBRA CA $4.27M
AMG, A PROFESSIONAL MEDICAL CORPORATION ALHAMBRA CA $966K
AMG, A PROFESSIONAL MEDICAL CORP PASADENA CA $447K
THOMAS S.LAM MD. A PROFESSIONAL CORPORATION ALHAMBRA CA $369K
99 MEDICAL EQUIPMENT, HEALTHCARE SUPPLIES & WHEELCHAIR CENTER MONTEREY PARK CA $237K
AMG, A PROFESSIONAL MEDICAL CORPORATION MAYWOOD CA $5K
ALPHA CARE MEDICAL GROUP, INC PASADENA CA $285.27

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 295,209 $2.15M
2019 8,884 $192K
2020 48,203 $370K
2021 49,263 $185K
2022 3,990 $0.00
2023 1,177 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 46,816 41,921 $471K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,214 4,167 $361K
99199 Unlisted special service, procedure or report 3,778 3,272 $184K
77067 Screening mammography, bilateral, including computer-aided detection 1,698 1,698 $134K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,562 4,401 $91K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 900 862 $77K
45380 Colonoscopy, flexible; with biopsy, single or multiple 296 296 $74K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,250 1,247 $73K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25,374 23,067 $59K
99050 916 828 $58K
A0425 Ground mileage, per statute mile 1,240 930 $53K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,281 1,261 $49K
A0427 Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) 384 356 $48K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 588 578 $44K
71046 Radiologic examination, chest; 2 views 1,552 1,539 $42K
83036 Hemoglobin; glycosylated (A1C) 11,495 11,439 $40K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4,037 3,950 $37K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 458 447 $35K
J3490 Unclassified drugs 1,897 1,312 $27K
88142 2,451 2,449 $26K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 138 137 $26K
97530 Therapeutic activities, direct patient contact, each 15 minutes 807 363 $24K
G9006 Coordinated care fee, home monitoring 70 67 $23K
A0429 Ambulance service, basic life support, emergency transport (bls-emergency) 167 148 $22K
99223 Prolong inpt eval add15 m 111 108 $22K
80061 Lipid panel 16,047 15,984 $21K
80053 Comprehensive metabolic panel 20,442 19,390 $20K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 387 177 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,032 1,886 $19K
97164 470 187 $19K
0450 Emergency room services 336 322 $19K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 246 241 $19K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 14 14 $17K
A0428 Ambulance service, basic life support, non-emergency transport, (bls) 81 70 $17K
76641 197 197 $16K
93351 43 43 $16K
74178 51 51 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,237 2,233 $13K
95810 Polysomnography; sleep staging with 4 or more additional parameters 25 25 $13K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 130 116 $13K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 618 535 $12K
99283 Emergency department visit for the evaluation and management, moderate severity 318 305 $12K
70450 Computed tomography, head or brain; without contrast material 157 138 $12K
99232 Subsequent hospital care, per day, moderate complexity 477 147 $12K
92134 405 395 $12K
96367 175 90 $12K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 236 204 $11K
90715 606 602 $11K
36415 Collection of venous blood by venipuncture 4,796 4,493 $11K
87340 3,760 3,749 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 1,401 1,399 $11K
71045 Radiologic examination, chest; single view 1,198 1,024 $10K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 251 251 $10K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1,138 1,130 $10K
99222 Initial hospital care, per day, moderate complexity 52 49 $10K
T4541 Incontinence product, disposable underpad, large, each 446 445 $10K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 996 993 $10K
90746 266 258 $9K
82728 934 926 $9K
99284 Emergency department visit for the evaluation and management, high severity 137 130 $9K
77080 288 288 $9K
87088 225 220 $9K
84439 4,246 4,229 $8K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,728 1,706 $8K
59025 Fetal non-stress test 546 200 $8K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 596 530 $7K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer 295 295 $7K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 3,951 3,867 $7K
77066 Tomosynthesis, mammo 62 62 $7K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 75 74 $7K
76536 144 144 $6K
84443 Thyroid stimulating hormone (TSH) 12,999 12,915 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 273 249 $6K
G0270 Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes 2,047 2,042 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 728 718 $6K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 91 91 $6K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 55 55 $6K
71250 30 30 $5K
93015 25 25 $5K
87086 Culture, bacterial; quantitative colony count, urine 3,502 3,336 $5K
76770 109 109 $5K
72100 213 212 $5K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,881 1,552 $5K
93000 886 879 $5K
31231 14 14 $5K
90651 455 452 $5K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 60 60 $4K
77065 Tomosynthesis, mammo 43 43 $4K
96375 Therapeutic injection; each additional sequential IV push 125 100 $4K
81001 15,522 14,967 $4K
90686 668 664 $4K
99386 136 136 $4K
73562 167 167 $4K
80048 Basic metabolic panel (calcium, ionized) 3,951 3,255 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 7,126 7,117 $3K
86038 1,112 1,109 $3K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 144 144 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 286 278 $3K
86592 2,532 2,521 $3K
88312 238 238 $3K
99215 Prolong outpt/office vis 114 109 $3K
83655 1,455 1,453 $3K
99385 117 115 $3K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 324 281 $3K
82746 587 586 $3K
92551 1,733 1,723 $3K
71270 12 12 $2K
99460 17 17 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 201 197 $2K
74177 Computed tomography, abdomen and pelvis; with contrast material 16 13 $2K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 57 57 $2K
73630 89 89 $2K
82274 1,781 1,764 $2K
76642 43 43 $2K
84484 835 680 $2K
82785 194 193 $2K
99233 Prolong inpt eval add15 m 92 41 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 228 210 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 4,056 4,005 $2K
90632 57 56 $2K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 264 150 $2K
A0424 Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) 120 108 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 22 16 $2K
J7030 Infusion, normal saline solution , 1000 cc 217 197 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 1,123 1,105 $2K
72040 87 87 $2K
76830 Ultrasound, transvaginal 390 388 $2K
81025 809 755 $2K
52281 14 14 $2K
J2405 Injection, ondansetron hydrochloride, per 1 mg 134 122 $2K
87081 721 670 $2K
83690 1,248 1,122 $2K
85730 1,709 1,534 $1K
82105 1,074 1,068 $1K
84702 592 514 $1K
90736 32 31 $1K
73030 93 92 $1K
81003 859 805 $1K
90670 269 268 $1K
71020 55 31 $1K
96361 Intravenous infusion, hydration; each additional hour 57 50 $1K
H1001 Prenatal care, at-risk enhanced service; antepartum management 19 12 $1K
86480 405 398 $1K
85027 509 394 $1K
95115 91 24 $1K
85652 114 114 $1K
83735 920 703 $1K
87070 179 176 $1K
92552 1,579 1,575 $1K
84703 450 422 $1K
67028 Intravitreal injection of a pharmacologic agent 136 127 $1K
3008F 9,043 8,801 $944.00
80076 2,990 2,954 $881.87
82570 3,942 3,892 $877.34
86003 70 69 $823.70
59430 14 14 $820.96
86706 3,298 3,292 $819.92
87338 304 303 $811.16
82947 735 721 $810.77
85610 2,214 1,951 $780.16
97803 130 130 $745.44
84481 853 850 $702.18
87517 675 672 $665.26
87522 Neg quan hep c or qual rna 59 58 $608.04
83001 328 326 $605.70
82150 245 245 $597.69
84153 2,134 2,117 $579.04
87209 51 46 $567.50
0760 97 86 $560.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg 49 45 $554.54
86580 248 247 $546.50
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 160 160 $528.38
82043 3,628 3,590 $519.00
83540 1,482 1,473 $490.43
86803 2,943 2,939 $489.91
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 130 124 $488.52
90688 278 278 $485.00
86704 758 758 $453.04
87186 710 687 $448.36
82607 1,495 1,493 $436.60
59425 55 37 $423.36
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 65 65 $423.07
90707 109 109 $416.68
82550 340 337 $386.31
81002 290 266 $379.20
90674 80 77 $378.00
84480 206 206 $367.41
84436 2,557 2,548 $363.02
90700 160 159 $340.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 238 238 $315.00
83013 128 128 $310.89
84479 1,625 1,620 $309.70
92340 Fitting of spectacles, except for aphakia; monofocal 14 14 $301.56
90696 50 50 $300.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 44 38 $297.22
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 134 132 $289.54
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,913 2,864 $280.00
3074F 2,096 2,038 $279.50
84550 4,751 4,735 $272.55
86160 50 50 $269.58
90744 143 143 $266.90
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 237 237 $266.43
92015 Determination of refractive state 46 46 $250.31
90461 334 329 $250.00
86900 662 631 $247.47
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 135 120 $243.93
86140 724 690 $238.87
83615 733 687 $216.09
84146 245 241 $211.76
83550 1,007 1,002 $193.36
84403 212 209 $183.88
E0570 Nebulizer, with compressor 341 340 $178.82
86762 398 396 $174.42
82977 3,023 2,998 $173.69
99381 12 12 $160.00
90716 142 142 $157.98
82378 892 856 $151.60
90633 190 190 $150.00
82951 358 323 $142.98
J0696 Injection, ceftriaxone sodium, per 250 mg 112 102 $138.00
0270 89 82 $136.51
88150 366 366 $135.00
99383 14 14 $127.50
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,326 1,325 $120.00
3078F 2,038 1,978 $115.00
82565 157 136 $114.35
83970 241 238 $93.96
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 39 39 $92.54
90698 45 45 $90.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 72 69 $89.07
86901 675 643 $86.85
V2020 Frames, purchases 14 14 $85.24
87045 42 41 $85.10
90472 Immunization administration, each additional vaccine (list separately) 1,026 1,009 $83.50
87077 65 65 $82.43
G0008 Administration of influenza virus vaccine 58 50 $75.79
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 755 625 $74.25
86735 131 131 $71.94
90734 197 197 $70.00
85049 17,109 16,546 $64.10
82652 70 70 $63.89
84156 136 134 $62.28
99173 1,200 1,192 $56.10
3725F 672 648 $56.00
86708 2,024 2,024 $55.25
84460 278 276 $53.63
86677 80 80 $51.80
84100 1,057 908 $46.58
83721 13,061 13,027 $45.30
86703 1,804 1,796 $42.77
92250 75 75 $42.13
90620 34 34 $39.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 134 126 $33.00
90648 144 144 $30.00
86696 125 125 $29.00
83002 241 240 $27.00
E0562 Humidifier, heated, used with positive airway pressure device 64 62 $22.71
86431 31 31 $22.07
97802 252 252 $20.00
84154 380 377 $18.67
84144 37 35 $18.30
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 104 104 $17.28
83021 155 154 $15.40
A4267 Contraceptive supply, condom, male, each 78 75 $15.40
0250 13 12 $12.78
86787 142 142 $11.38
90713 71 71 $10.00
A0999 Unlisted ambulance service 190 163 $9.88
84155 444 439 $5.83
85651 1,429 1,402 $5.79
86430 786 786 $5.04
84450 135 135 $4.37
85008 3,449 3,194 $4.30
82270 340 336 $2.92
85018 1,772 1,762 $2.05
87040 181 155 $1.80
1036F 220 201 $0.00
3079F 388 378 $0.00
86317 46 46 $0.00
99239 Hospital discharge day management, more than 30 minutes 13 13 $0.00
90680 110 110 $0.00
87350 344 344 $0.00
83880 178 131 $0.00
99000 149 138 $0.00
1101F 164 164 $0.00
3014F 193 193 $0.00
3075F 195 187 $0.00
86300 210 196 $0.00
86481 149 149 $0.00
1125F 46 46 $0.00
81000 210 210 $0.00
86707 262 262 $0.00
3017F 262 259 $0.00
S9451 Exercise classes, non-physician provider, per session 486 485 $0.00
82962 50 48 $0.00
86376 75 75 $0.00
1034F 67 66 $0.00
1170F 165 165 $0.00
96151 127 125 $0.00
86885 203 202 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 38 38 $0.00
90656 12 12 $0.00
A0398 Als routine disposable supplies 110 97 $0.00
86171 131 131 $0.00
G8420 Bmi is documented within normal parameters and no follow-up plan is required 177 165 $0.00
1157F 14 14 $0.00
80069 193 186 $0.00
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 101 98 $0.00
97026 72 52 $0.00
96110 Developmental screening, with scoring and documentation, per standardized instrument 228 223 $0.00
82952 128 127 $0.00
93320 43 43 $0.00
51798 86 86 $0.00
97814 137 91 $0.00
1126F 39 38 $0.00
96127 75 75 $0.00
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 89 64 $0.00
98961 242 242 $0.00
99406 73 72 $0.00
86304 128 124 $0.00
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 97 97 $0.00
96156 76 76 $0.00
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 17 17 $0.00
3080F 27 26 $0.00
82672 27 27 $0.00
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 15 14 $0.00
99462 23 18 $0.00
92082 52 52 $0.00
83605 146 78 $0.00
76801 39 37 $0.00
3044F 28 28 $0.00
0011A 23 23 $0.00
Q3014 Telehealth originating site facility fee 35 31 $0.00
80051 13 12 $0.00
86850 59 55 $0.00
G9637 Final reports with documentation of one or more dose reduction techniques (e.g., automated exposure control, adjustment of the ma and/or kv according to patient size, use of iterative reconstruction technique) 16 16 $0.00
0012A 17 17 $0.00
84402 43 41 $0.00
86880 27 26 $0.00
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15 14 $0.00
86800 12 12 $0.00
82575 14 14 $0.00
99441 13 13 $0.00
97750 15 15 $0.00
84270 27 26 $0.00
82677 12 12 $0.00
3061F 14 14 $0.00
86301 13 13 $0.00
0001A 24 24 $0.00
87341 336 101 $0.00
1160F 434 413 $0.00
G0444 Annual depression screening, 5 to 15 minutes 195 195 $0.00
2022F 115 115 $0.00
97039 136 90 $0.00
82540 14 14 $0.00
83026 328 327 $0.00
99490 Ccm add 20min 62 62 $0.00
99051 12 12 $0.00
1158F 143 143 $0.00
86705 162 162 $0.00
96160 224 224 $0.00
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 144 141 $0.00
85044 90 90 $0.00
82948 310 136 $0.00
87806 190 190 $0.00
88104 95 82 $0.00
E0601 Continuous positive airway pressure (cpap) device 40 40 $0.00
90649 47 47 $0.00
97810 54 39 $0.00
97813 137 91 $0.00
82787 73 73 $0.00
G9920 Screening performed and negative 259 258 $0.00
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 228 227 $0.00
G0124 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician 57 57 $0.00
85007 273 147 $0.00
86709 271 271 $0.00
99397 28 28 $0.00
82248 106 106 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 78 69 $0.00
99442 27 25 $0.00
1090F 109 109 $0.00
1159F 286 284 $0.00
0637 30 28 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 26 25 $0.00
0002A 40 40 $0.00
82247 14 12 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 134 133 $0.00
93325 43 43 $0.00
90710 44 44 $0.00
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 259 194 $0.00
97811 54 39 $0.00
92557 12 12 $0.00
87177 51 46 $0.00
J9035 Injection, bevacizumab, 10 mg 49 46 $0.00
80299 115 113 $0.00
99401 104 104 $0.00
A0382 Bls routine disposable supplies 104 91 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 131 117 $0.00
90658 100 100 $0.00
92081 41 41 $0.00
90837 Psychotherapy, 53 minutes with patient 47 29 $0.00
U0004 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r 106 69 $0.00
92083 70 70 $0.00
86694 72 72 $0.00
G8785 Blood pressure reading not documented, reason not given 12 12 $0.00
87210 26 25 $0.00
87400 18 18 $0.00
3288F 28 28 $0.00
3077F 62 58 $0.00
98966 93 83 $0.00
4004F 92 91 $0.00
90685 32 32 $0.00
69210 158 158 $0.00
76813 25 25 $0.00
G9551 Final reports for imaging studies without an incidentally found lesion noted 12 12 $0.00
92202 29 29 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 15 15 $0.00
86200 29 29 $0.00