Hethumuni, Stephanee

Hethumuni, Stephanee was paid $433K by Medicaid between Jan 2018 and Jun 2024, across 45 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.

33Billing provider infoHETHUMUNI, STEPHANEE
MONTEBELLO, CA 90640

33aNPI1639226202assigned 01/04/2007

33bProvider typeExclusive Provider Organization

28Total paid$433K

24GClaims49,201

24DCodes billed45

24AFirst – last monthJan 2018 – Jun 2024

Compared with peers

Next to other Exclusive Provider Organization providers in California

Rank by total paid#15 of 55

Median peer was paid$90K

This provider vs. median4.8×

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	3,888	$34K
2019	12,415	$131K
2020	8,972	$86K
2021	8,224	$73K
2022	7,140	$57K
2023	6,865	$39K
2024incomplete	1,697	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	18%	10,647	9,137	$76K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	16%	893	881	$70K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	14%	2,604	2,587	$60K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	12%	1,846	1,840	$54K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	10%	1,643	1,625	$44K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	8.4%	2,322	2,031	$36K
92551		4.9%	4,327	4,317	$21K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	3.3%	6,012	5,942	$14K
86580		2.9%	5,632	5,612	$13K
90472	Immunization administration, each additional vaccine (list separately)	2.4%	2,599	2,572	$10K
90686		1.9%	2,384	2,357	$8K
90670		<1%	571	568	$3K

33 more codes

0071A		<1%	91	$2K
99173		<1%	3,894	$2K
90698		<1%	324	$2K
0072A		<1%	65	$2K
90651		<1%	581	$2K
99381		<1%	15	$2K
90680		<1%	170	$2K
92552		<1%	213	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	317	$1K
90715		<1%	392	$1K
99222	Initial hospital care, per day, moderate complexity	<1%	12	$964.94
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	268	$656.40
90633		<1%	142	$477.11
99383		<1%	14	$470.08
90744		<1%	67	$463.05
0002A		<1%	12	$400.02
90674		<1%	65	$396.13
90734		<1%	194	$396.00
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	15	$342.04
90620		<1%	162	$252.00
85018		<1%	95	$174.97
90658		<1%	29	$135.00
99238	Hospital discharge day management, 30 minutes or less	<1%	12	$118.82
90619		<1%	18	$117.00
90700		<1%	13	$63.00
90713		<1%	13	$63.00
90688		<1%	119	$63.00
90696		<1%	35	$63.00
90710		<1%	19	$45.00
81002		<1%	41	$24.66
99442		0%	104	$0.00
99441		0%	169	$0.00
91307		0%	41	$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.