Medicaid Provider Spending

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

MOULTON FAMILY MEDICAL, INC.

NPI: 1538190954 · LAKE FOREST, CA 92630 · Family Medicine Physician · NPI assigned 07/05/2006

$143K
Total Medicaid Paid
2,818
Total Claims
2,155
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialBOUTROS, NELLY (OWNER)
NPI Enumeration Date07/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 569 $20K
2019 579 $15K
2020 520 $41K
2021 573 $42K
2022 122 $12K
2023 161 $5K
2024 294 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,372 1,241 $81K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 531 488 $27K
99232 Subsequent hospital care, per day, moderate complexity 595 132 $24K
99222 Initial hospital care, per day, moderate complexity 48 48 $4K
99423 37 28 $3K
99422 62 50 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29 29 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 52 52 $901.97
99334 92 87 $897.00