Physician
Mark T. Fahlen, MD, INC. a Professional Medical Corporation
Mark T. Fahlen, MD, INC. a Professional Medical Corporation was paid $673K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 90962, — 66% of everything it billed.
33Billing provider infoMARK T. FAHLEN, MD, INC. A PROFESSIONAL MEDICAL CORPORATION
MODESTO, CA 95350
MODESTO, CA 95350
33aNPI1659537264assigned 08/03/2008
33bProvider typeNephrology Physician
28Total paid$673K
24GClaims15,286
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Nephrology Physician providers in California
Rank by total paid#65 of 363
Median peer was paid$80K
This provider vs. median8.4×
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 | 2,241 | $77K | |
| 2019 | 2,519 | $96K | |
| 2020 | 2,353 | $100K | |
| 2021 | 2,248 | $108K | |
| 2022 | 2,263 | $116K | |
| 2023 | 2,130 | $101K | |
| 2024incomplete | 1,532 | $75K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90962 | 66% | 6,435 | 6,417 | $443K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | 12% | 2,726 | 1,046 | $83K |
| 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 | 11% | 2,999 | 2,981 | $72K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 9.5% | 2,982 | 1,221 | $64K |
| 90961 | 1.4% | 118 | 117 | $10K | |
| 99223 | Prolong inpt eval add15 m | <1% | 12 | 12 | $849.06 |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 14 | 12 | $627.86 |
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 officialFAHLEN, MARK (PRESIDENT)