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

Premium Health Oc INC

Premium Health Oc INC was paid $2.01M by Medicaid between Dec 2020 and Nov 2023, across 7 billing codes. Its largest line is 87811, Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) — 70% of everything it billed.

33Billing provider infoPREMIUM HEALTH OC INC
IRVINE, CA 92618
33aNPI1831712496assigned 05/18/2020
28Total paid$2.01M
24GClaims92,340
24DCodes billed7
24AFirst – last monthDec 2020 – Nov 2023
Compared with peers

Next to other Internal Medicine Physician providers in California

Rank by total paid#69 of 2,679
Median peer was paid$13K
This provider vs. median159×

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$100K$200K$300K2018201920202021202220232024
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
2020127$2K
20212,327$59K
202257,824$1.27M
202332,062$674K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 70% 42,082 34,601 $1.40M
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 11% 31,738 25,066 $230K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 11% 10,667 10,336 $223K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.7% 4,820 3,596 $54K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.7% 1,221 1,196 $54K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2.2% 1,635 1,454 $43K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 177 162 $3K

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 officialMOHAJER, ALAN (DIRECTOR)