Physician
Johnson, Paul
Johnson, Paul was paid $112K by Medicaid between Jan 2018 and Aug 2020, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 66% of everything it billed.
33Billing provider infoJOHNSON, PAUL
GARDEN GROVE, CA 92840
GARDEN GROVE, CA 92840
33aNPI1497790661assigned 06/19/2006
33bProvider typeFamily Medicine Physician
28Total paid$112K
24GClaims11,878
24DCodes billed35
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#581 of 2,511
Median peer was paid$13K
This provider vs. median8.7×
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 | 3,867 | $48K | |
| 2019 | 4,667 | $46K | |
| 2020 | 3,344 | $17K |
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 | 66% | 3,938 | 3,102 | $74K |
| 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 | 19% | 646 | 528 | $22K |
| 96156 | 2.5% | 158 | 154 | $3K | |
| 96151 | 1.8% | 293 | 291 | $2K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 38 | 15 | $2K |
| 99223 | Prolong inpt eval add15 m | 1.1% | 26 | 24 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 39 | 37 | $1K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.0% | 129 | 125 | $1K |
| 90756 | <1% | 47 | 47 | $983.82 | |
| 99000 | <1% | 496 | 489 | $783.46 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 15 | 12 | $709.73 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 129 | 128 | $682.04 |
23 more codes
| 99499 | <1% | 599 | $641.42 | |
| 1160F | <1% | 1,015 | $619.92 | |
| 90688 | <1% | 36 | $594.00 | |
| 3008F | <1% | 1,149 | $508.05 | |
| 1159F | <1% | 1,027 | $439.10 | |
| 96127 | <1% | 125 | $198.26 | |
| 3074F | <1% | 377 | $114.94 | |
| 3078F | <1% | 417 | $76.03 | |
| 4037F | <1% | 68 | $75.00 | |
| 96150 | <1% | 15 | $64.55 | |
| 81002 | <1% | 52 | $50.50 | |
| 3725F | 0% | 117 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 85 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 215 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 151 | $0.00 |
| 3077F | 0% | 32 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 12 | $0.00 |
| 1220F | 0% | 124 | $0.00 | |
| 3079F | 0% | 69 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 157 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 25 | $0.00 |
| 3080F | 0% | 25 | $0.00 | |
| 3075F | 0% | 32 | $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.