Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Robert L Buckingham M D INC

Robert L Buckingham M D INC was paid $422K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 60% of everything it billed.

33Billing provider infoROBERT L BUCKINGHAM M D INC
OJAI, CA 93023
33aNPI1669479184assigned 06/30/2005
28Total paid$422K
24GClaims6,661
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in California

Rank by total paid#134 of 714
Median peer was paid$28K
This provider vs. median15×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20181,020$26K
2019578$48K
2020752$57K
20211,105$76K
2022879$69K
20231,340$99K
2024incomplete987$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99310 Prolong nursin fac eval 15m 60% 3,592 3,307 $254K
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 22% 1,301 1,022 $92K
99205 Prolong outpt/office vis 9.9% 478 467 $42K
99490 Ccm add 20min 2.4% 234 232 $10K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1.8% 408 385 $7K
99308 Subsequent nursing facility care, per day, straightforward 1.6% 235 186 $7K
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 241 230 $4K
99306 Prolong nursin fac eval 15m <1% 29 28 $3K
99245 <1% 19 19 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 93 85 $1K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 19 19 $68.64
99406 <1% 12 12 $26.95

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 officialBUCKINGHAM, ROBERT (PRESIDENT)