Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Salinas › NPI 1538366265

Salinas Valley Plastic Surgery Associates, a Medical Corporation

Salinas Valley Plastic Surgery Associates, a Medical Corporation was paid $87K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoSALINAS VALLEY PLASTIC SURGERY ASSOCIATES, A MEDICAL CORPORATION
SALINAS, CA 93901
33aNPI1538366265assigned 06/27/2007
33bProvider typeSpecialist
28Total paid$87K
24GClaims2,322
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Specialist providers in California

Rank by total paid#542 of 1,230
Median peer was paid$51K
This provider vs. median1.7×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018539$20K
2019429$16K
2020331$13K
2021386$14K
2022204$7K
2023253$9K
2024incomplete180$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 61% 1,266 1,059 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 17% 554 487 $15K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 17% 442 287 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.9% 32 32 $3K
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 2.1% 28 25 $2K

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 officialROMANS, HELENA (VICE PRESIDENT)