Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Jose › NPI 1568973071
Physician

Realoptions

Realoptions was paid $18K by Medicaid between May 2021 and Oct 2024, across 6 billing codes. Its largest line is 76815, Ultrasound, pregnant uterus, real time with image documentation, limited — 33% of everything it billed.

33Billing provider infoREALOPTIONS
SAN JOSE, CA 95126
33aNPI1568973071assigned 10/24/2017
28Total paid$18K
24GClaims1,533
24DCodes billed6
24AFirst – last monthMay 2021 – Oct 2024
Compared with peers

Next to other Public Health & General Preventive Medicine Physician providers in California

Rank by total paid#10 of 15
Median peer was paid$18K
This provider vs. median1.0×

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

$0$1.0K$2.0K2018201920202021202220232024
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
2021200$2K
2022317$4K
2023518$6K
2024incomplete498$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 33% 299 299 $6K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 27% 203 203 $5K
81025 24% 804 803 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14% 64 64 $2K
99000 2.1% 133 132 $366.91
81002 <1% 30 29 $55.90

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 officialHILL, VALERIE (CHIEF EXECUTIVE OFFICER)
Parent organizationREALOPTIONS