Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › MISSION VIEJO › OC TRAUMA INC

OC TRAUMA INC

NPI: 1720516628 · MISSION VIEJO, CA 92691 · Trauma Surgery Physician · NPI assigned 05/23/2017

$144K
Total Medicaid Paid
1,324
Total Claims
759
Beneficiaries
5
Codes Billed
2019-05
First Month
2024-09
Last Month

Provider Details

Authorized OfficialWALLACE, WILLIAM (CEO)
Parent OrganizationSOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC.
NPI Enumeration Date05/23/2017

Related Entities

Other providers sharing the same authorized official: WALLACE, WILLIAM

ProviderCityStateTotal Paid
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC CHULA VISTA CA $13.00M
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. SAN DIEGO CA $8.46M
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC SAN DIEGO CA $10K
SOUTH ORANGE COUNTY SURGICAL MEDICAL GROUP, INC. LAGUNA HILLS CA $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 87 $9K
2020 49 $4K
2021 256 $23K
2022 405 $41K
2023 398 $51K
2024 129 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,248 688 $141K
99292 34 29 $2K
93308 14 14 $372.65
76775 14 14 $300.33
76705 Ultrasound, abdominal, real time with image documentation; limited 14 14 $225.96