Pinches, John

Pinches, John was paid $148K by Medicaid between Jan 2018 and May 2023, across 5 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 45% of everything it billed.

33Billing provider infoPINCHES, JOHN
LOS ALAMITOS, CA 90720

33aNPI1568577658assigned 08/20/2006

33bProvider typeGynecology Physician

28Total paid$148K

24GClaims2,753

24DCodes billed5

24AFirst – last monthJan 2018 – May 2023

Compared with peers

Next to other Gynecology Physician providers in California

Rank by total paid#14 of 47

Median peer was paid$37K

This provider vs. median4.0×

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	580	$26K
2019	608	$32K
2020	563	$31K
2021	399	$22K
2022	471	$28K
2023	132	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1001	Prenatal care, at-risk enhanced service; antepartum management	45%	961	549	$66K
59425		37%	830	465	$54K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	849	685	$27K
97803		<1%	57	41	$470.96
99401		<1%	56	41	$462.55

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.