Physician
Whalen Medical Corporation
Whalen Medical Corporation was paid $212K by Medicaid between Jan 2018 and Apr 2019, across 22 billing codes. Its largest line is 20610, — 31% of everything it billed.
33Billing provider infoWHALEN MEDICAL CORPORATION
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1568808772assigned 05/14/2013
33bProvider typePhysical Medicine & Rehabilitation Physician
28Total paid$212K
24GClaims14,415
24DCodes billed22
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other Physical Medicine & Rehabilitation Physician providers in California
Rank by total paid#24 of 166
Median peer was paid$16K
This provider vs. median13×
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 | 11,932 | $161K | |
| 2019 | 2,483 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 20610 | 31% | 1,436 | 587 | $66K | |
| 27370 | 31% | 675 | 592 | $65K | |
| J7328 | Hyaluronan or derivative, gelsyn-3, for intra-articular injection, 0.1 mg | 18% | 677 | 235 | $39K |
| 76881 | 8.7% | 709 | 385 | $18K | |
| J7321 | Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose | 4.5% | 1,244 | 325 | $10K |
| 73580 | 2.4% | 1,285 | 619 | $5K | |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1.4% | 97 | 38 | $3K |
| 77002 | 1.1% | 1,366 | 588 | $2K | |
| 1101F | <1% | 907 | 426 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 69 | 68 | $588.24 |
| 27369 | <1% | 28 | 22 | $572.83 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 770 | 371 | $51.99 |
10 more codes
| 73560 | <1% | 53 | $34.24 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 730 | $16.30 |
| G9500 | Radiation exposure indices documented in final report for procedure using fluoroscopy | <1% | 1,346 | $0.01 |
| 1006F | 0% | 883 | $0.00 | |
| G8432 | Depression screening not documented, reason not given | 0% | 30 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 814 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 311 | $0.00 |
| 4040F | 0% | 885 | $0.00 | |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 86 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 14 | $0.00 |
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 officialWHALEN, SEAN (CEO)
| Provider | Location | Paid |
|---|---|---|
| Fife School District | Tacoma, WA | $86K |
| Children's Dentistry, Boulder | Boulder, CO | $18K |
| Flexogenix North Carolina PC | Charlotte, NC | $13K |
| Flexogenix North Carolina, PC | Greensboro, NC | $7K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.