Bailey, Thomas

Bailey, Thomas was paid $165K by Medicaid between Jan 2018 and Aug 2023, across 9 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 63% of everything it billed.

33Billing provider infoBAILEY, THOMAS
MISSION VIEJO, CA 92691

33aNPI1598714818assigned 05/06/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$165K

24GClaims4,835

24DCodes billed9

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#298 of 791

Median peer was paid$67K

This provider vs. median2.5×

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	1,141	$36K
2019	372	$21K
2020	417	$19K
2021	1,699	$47K
2022	899	$38K
2023	307	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1001	Prenatal care, at-risk enhanced service; antepartum management	63%	1,518	794	$105K
59425		32%	772	430	$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	2.2%	132	109	$4K
99000		1.4%	847	777	$2K
76815	Ultrasound, pregnant uterus, real time with image documentation, limited	<1%	12	12	$753.97
81002		<1%	276	179	$107.21
3074F		0%	137	106	$0.00
99072		0%	1,034	668	$0.00
3078F		0%	107	83	$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.