Physician
Hesham El Mokadem, M.D., INC.
Hesham El Mokadem, M.D., INC. was paid $5.45M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 59425, — 26% of everything it billed.
33Billing provider infoHESHAM EL MOKADEM, M.D., INC.
CORONA, CA 92882
CORONA, CA 92882
33aNPI1588012124assigned 05/24/2016
33bProvider typeObstetrics & Gynecology Physician
28Total paid$5.45M
24GClaims69,812
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Obstetrics & Gynecology Physician providers in California
Rank by total paid#22 of 791
Median peer was paid$67K
This provider vs. median82×
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 | 10,224 | $743K | |
| 2019 | 9,978 | $728K | |
| 2020 | 11,519 | $876K | |
| 2021 | 11,987 | $948K | |
| 2022 | 9,429 | $769K | |
| 2023 | 9,091 | $758K | |
| 2024incomplete | 7,584 | $628K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 59425 | 26% | 26,243 | 15,925 | $1.44M | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 21% | 2,326 | 2,307 | $1.14M |
| Z1034 | 7.8% | 7,302 | 4,534 | $427K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 9,965 | 9,002 | $338K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.1% | 2,941 | 2,930 | $332K |
| 59514 | 5.6% | 615 | 612 | $304K | |
| 76813 | 4.0% | 2,214 | 2,107 | $220K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 3.6% | 2,152 | 2,147 | $195K |
| 59430 | 3.1% | 2,697 | 2,622 | $168K | |
| Z1032 | 2.5% | 930 | 930 | $136K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 2.2% | 1,794 | 1,792 | $122K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.0% | 1,781 | 1,776 | $110K |
21 more codes
| 0500F | 1.9% | 1,212 | $103K | |
| 3351F | 1.8% | 1,422 | $98K | |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.3% | 1,568 | $70K |
| 76830 | Ultrasound, transvaginal | 1.2% | 1,017 | $67K |
| Z6500 | <1% | 348 | $43K | |
| J3490 | Unclassified drugs | <1% | 526 | $35K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 633 | $32K |
| 88141 | <1% | 507 | $25K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 329 | $24K |
| 58100 | <1% | 296 | $9K | |
| 3353F | <1% | 58 | $4K | |
| Z6406 | <1% | 240 | $3K | |
| Z6204 | <1% | 240 | $2K | |
| Z6304 | <1% | 240 | $2K | |
| 57454 | <1% | 26 | $2K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 22 | $1K |
| Z6400 | <1% | 116 | $891.04 | |
| Z1038 | <1% | 13 | $713.04 | |
| Z6414 | <1% | 13 | $167.30 | |
| Z6208 | <1% | 13 | $122.63 | |
| Z6308 | <1% | 13 | $106.74 |
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 officialEL MOKADEM, HESHAM (PRESIDENT)