Bustamante, Alfonso

Bustamante, Alfonso was paid $1.36M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 99% of everything it billed.

33Billing provider infoBUSTAMANTE, ALFONSO
SANTA ANA, CA 92701

33aNPI1497840839assigned 10/03/2006

33bProvider typeClinical Psychologist

28Total paid$1.36M

24GClaims17,014

24DCodes billed2

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Clinical Psychologist providers in California

Rank by total paid#13 of 350

Median peer was paid$42K

This provider vs. median33×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Single-Code Concentration99% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.

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	2,716	$204K
2019	3,050	$226K
2020	2,733	$205K
2021	3,049	$228K
2022	3,090	$232K
2023	1,692	$182K
2024incomplete	684	$83K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	99%	16,770	4,773	$1.34M
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	1.3%	244	180	$18K

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.