Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Montebello › NPI 1558502716
Physician

J. Antonio Alarcon, MD INC

J. Antonio Alarcon, MD INC was paid $75K by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.

33Billing provider infoJ. ANTONIO ALARCON, MD INC
MONTEBELLO, CA 90640
33aNPI1558502716assigned 03/18/2009
33bProvider typeUrology Physician
28Total paid$75K
24GClaims9,160
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Urology Physician providers in California

Rank by total paid#63 of 171
Median peer was paid$20K
This provider vs. median3.7×

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
20181,658$11K
20191,949$16K
20201,166$8K
20211,280$10K
20221,130$12K
20231,265$12K
2024incomplete712$7K
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% 4,512 4,390 $46K
51798 8.0% 1,367 1,330 $6K
51741 6.4% 629 616 $5K
99254 5.7% 83 82 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.5% 522 521 $3K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 4.4% 121 92 $3K
64566 3.7% 46 29 $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 2.9% 97 95 $2K
52000 1.1% 34 28 $797.93
81003 <1% 1,677 1,621 $712.27
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity <1% 24 13 $453.60
51784 <1% 24 24 $189.56
2 more codes
51797 <1% 12 $149.44
36415 Collection of venous blood by venipuncture <1% 12 $0.32

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 officialEMERZIAN, KATHY (MANAGER)