Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Los Alamitos › NPI 1598042178
Clinic

Shivanand R Pole MD INC

Shivanand R Pole MD INC was paid $145K by Medicaid between Oct 2018 and Nov 2024, across 9 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 53% of everything it billed.

33Billing provider infoSHIVANAND R POLE MD INC
LOS ALAMITOS, CA 90720
33aNPI1598042178assigned 11/09/2011
33bProvider typeClinic/Center
28Total paid$145K
24GClaims5,612
24DCodes billed9
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers

Next to other Clinic/Center providers in California

Rank by total paid#235 of 504
Median peer was paid$102K
This provider vs. median1.4×

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$4.0K$6.0K2018201920202021202220232024
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
201848$1K
2019405$15K
2020497$17K
2021683$26K
20221,328$41K
20231,355$25K
2024incomplete1,296$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99310 Prolong nursin fac eval 15m 53% 2,215 2,054 $78K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 27% 2,074 436 $39K
99309 Subsequent nursing facility care, per day, low to moderate complexity 8.8% 611 601 $13K
99222 Initial hospital care, per day, moderate complexity 6.3% 466 453 $9K
99306 Prolong nursin fac eval 15m 2.0% 55 55 $3K
99239 Hospital discharge day management, more than 30 minutes 1.2% 52 52 $2K
99223 Prolong inpt eval add15 m <1% 99 91 $1K
99236 Prolong inpt eval add15 m <1% 13 13 $123.35
99235 0% 27 24 $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 officialPOLE, SHIVANAND (PRESIDENT)