Frederick L.Stafford M.D., INC.

Frederick L.Stafford M.D., INC. was paid $20K by Medicaid between Jan 2018 and Jul 2023, across 5 billing codes. Its largest line is 99231, Subsequent hospital care, per day, straightforward or low complexity — 45% of everything it billed.

33Billing provider infoFREDERICK L.STAFFORD M.D., INC.
LAGUNA HILLS, CA 92653

33aNPI1699062083assigned 07/06/2011

33bProvider typeSurgery Physician

28Total paid$20K

24GClaims686

24DCodes billed5

24AFirst – last monthJan 2018 – Jul 2023

Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#227 of 437

Median peer was paid$23K

This provider vs. median0.9×

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	362	$9K
2019	123	$4K
2020	12	$2K
2021	13	$1K
2022	82	$2K
2023	94	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99231	Subsequent hospital care, per day, straightforward or low complexity	45%	456	207	$9K
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	30%	54	54	$6K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	14%	108	53	$3K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	7.7%	54	24	$2K
99222	Initial hospital care, per day, moderate complexity	3.8%	14	14	$780.32

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 officialSALUD, GABRIELLE (ADMIN/BUSINESS MANAGER)