Paul J Dougherty M D INC

Paul J Dougherty M D INC was paid $192K by Medicaid between Jun 2018 and Sep 2024, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoPAUL J DOUGHERTY M D INC
WESTLAKE VILLAGE, CA 91361

33aNPI1649203639assigned 07/10/2006

33bProvider typeOphthalmology Physician

28Total paid$192K

24GClaims3,532

24DCodes billed12

24AFirst – last monthJun 2018 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in California

Rank by total paid#222 of 759

Median peer was paid$35K

This provider vs. median5.4×

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

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	24	$194.26
2019	88	$4K
2020	57	$4K
2021	118	$6K
2022	737	$46K
2023	1,755	$107K
2024incomplete	753	$25K

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	30%	1,005	941	$58K
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	19%	458	424	$37K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14%	255	248	$28K
92134		13%	825	788	$25K
92136		11%	593	512	$21K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	6.9%	27	25	$13K
92133		2.5%	156	155	$5K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	86	82	$2K
92083		<1%	63	51	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	<1%	30	30	$1K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	<1%	13	13	$834.61
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	21	21	$240.73

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 officialREDDEN, SHELLI (BILLING SPECILIST)