BUSTAMANTE, ALFONSO
NPI: 1497840839
· SANTA ANA, CA 92701
· Clinical Psychologist
· NPI assigned 10/03/2006
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
99% of spending on code 90837 with only 2 total codes billed. Highly concentrated billing profile.
$1.36M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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 |
| 2024 |
684 |
$83K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90837 |
Psychotherapy, 53 minutes with patient |
16,770 |
4,773 |
$1.34M |
| 90791 |
Psychiatric diagnostic evaluation |
244 |
180 |
$18K |