Spalding, Patrick

Spalding, Patrick was paid $249K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 91% of everything it billed.

33Billing provider infoSPALDING, PATRICK
PISMO BEACH, CA 93449

33aNPI1659454221assigned 10/24/2006

33bProvider typeObstetrics & Gynecology Physician

28Total paid$249K

24GClaims6,964

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Obstetrics & Gynecology Physician providers in California

Rank by total paid#247 of 791

Median peer was paid$67K

This provider vs. median3.7×

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	1,841	$72K
2019	1,352	$47K
2020	630	$20K
2021	971	$34K
2022	1,018	$35K
2023	617	$21K
2024incomplete	535	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H1001	Prenatal care, at-risk enhanced service; antepartum management	91%	3,178	1,900	$226K
81002		4.5%	3,694	2,294	$11K
59409	Vaginal delivery only (with or without episiotomy and/or forceps)	3.3%	13	13	$8K
H1000	Prenatal care, at-risk assessment	<1%	12	12	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	27	25	$1K
81025		<1%	40	40	$119.22

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.