Moulton Family Medical, INC.

Moulton Family Medical, INC. was paid $143K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoMOULTON FAMILY MEDICAL, INC.
LAKE FOREST, CA 92630

33aNPI1538190954assigned 07/05/2006

33bProvider typeFamily Medicine Physician

28Total paid$143K

24GClaims2,818

24DCodes billed9

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#520 of 2,511

Median peer was paid$13K

This provider vs. median11×

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

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	56%	1,372	1,241	$81K
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%	531	488	$27K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	17%	595	132	$24K
99222	Initial hospital care, per day, moderate complexity	2.6%	48	48	$4K
99423		1.9%	37	28	$3K
99422		1.2%	62	50	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.1%	29	29	$2K
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%	52	52	$901.97
99334		<1%	92	87	$897.00

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.

From NPPES

Who's on the registration

Authorized officialBOUTROS, NELLY (OWNER)