Physician
Boutros, Adel
Boutros, Adel was paid $405K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 57% of everything it billed.
33Billing provider infoBOUTROS, ADEL
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
33aNPI1700952827assigned 11/28/2006
33bProvider typeFamily Medicine Physician
28Total paid$405K
24GClaims30,750
24DCodes billed17
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#292 of 2,511
Median peer was paid$13K
This provider vs. median32×
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 | 4,108 | $69K | |
| 2019 | 310 | $7K | |
| 2020 | 4,369 | $61K | |
| 2021 | 11,579 | $151K | |
| 2022 | 7,856 | $74K | |
| 2023 | 1,861 | $27K | |
| 2024incomplete | 667 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 57% | 15,369 | 2,162 | $229K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 3,027 | 2,629 | $45K |
| 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 | 10% | 1,369 | 1,246 | $41K |
| 99222 | Initial hospital care, per day, moderate complexity | 8.4% | 1,143 | 1,091 | $34K |
| G0180 | Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 3.7% | 1,151 | 1,150 | $15K |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | 2.7% | 1,052 | 1,052 | $11K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.9% | 223 | 223 | $8K |
| 99308 | Subsequent nursing facility care, per day, straightforward | 1.7% | 1,765 | 1,646 | $7K |
| 99347 | 1.6% | 3,366 | 2,922 | $6K | |
| 99334 | <1% | 1,762 | 1,704 | $4K | |
| 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 | <1% | 48 | 48 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 92 | 29 | $991.08 |
5 more codes
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.