Physician
West Coast Critical Care Specialists, INC.
West Coast Critical Care Specialists, INC. was paid $2.32M by Medicaid between Jan 2018 and Aug 2024, across 4 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 81% of everything it billed.
33Billing provider infoWEST COAST CRITICAL CARE SPECIALISTS, INC.
OXNARD, CA 93036
OXNARD, CA 93036
33aNPI1861707770assigned 08/16/2010
33bProvider typePulmonary Disease Physician
28Total paid$2.32M
24GClaims14,303
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pulmonary Disease Physician providers in California
Rank by total paid#9 of 225
Median peer was paid$53K
This provider vs. median43×
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 | 1,640 | $160K | |
| 2019 | 2,599 | $438K | |
| 2020 | 2,203 | $413K | |
| 2021 | 2,819 | $519K | |
| 2022 | 1,916 | $313K | |
| 2023 | 2,099 | $330K | |
| 2024incomplete | 1,027 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 81% | 10,026 | 5,103 | $1.88M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 14% | 3,675 | 2,008 | $334K |
| 99223 | Prolong inpt eval add15 m | 4.4% | 588 | 577 | $101K |
| 99292 | <1% | 14 | 12 | $2K |
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 officialBHATIA, RAJAN (OWNER/CEO)