Clinic
Portola Medical Services PC
Portola Medical Services PC was paid $1.43M by Medicaid between Mar 2019 and Dec 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.
33Billing provider infoPORTOLA MEDICAL SERVICES PC
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
33aNPI1871962076assigned 09/17/2015
33bProvider typeUrgent Care Clinic/Center
28Total paid$1.43M
24GClaims31,400
24DCodes billed22
24AFirst – last monthMar 2019 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#67 of 284
Median peer was paid$147K
This provider vs. median9.7×
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 | |
|---|---|---|---|
| 2019 | 15 | $695.20 | |
| 2020 | 12 | $43.52 | |
| 2021 | 243 | $8K | |
| 2022 | 2,531 | $91K | |
| 2023 | 14,824 | $593K | |
| 2024incomplete | 13,775 | $738K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 31% | 7,417 | 6,771 | $450K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 7,135 | 6,491 | $412K |
| 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 | 19% | 4,221 | 4,142 | $269K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 3,850 | 3,788 | $216K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 1,560 | 1,504 | $32K |
| 99070 | 1.5% | 1,741 | 1,578 | $22K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 455 | 440 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,135 | 565 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56 | 54 | $2K |
| 73630 | <1% | 99 | 96 | $2K | |
| 99051 | <1% | 1,713 | 1,649 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 370 | 309 | $2K |
10 more codes
| 73610 | <1% | 73 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 551 | $1K |
| 81002 | <1% | 639 | $729.24 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 138 | $698.66 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 46 | $423.10 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 62 | $331.89 |
| 87807 | <1% | 16 | $137.12 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 99 | $97.80 |
| 93000 | <1% | 12 | $57.40 | |
| 99000 | <1% | 12 | $43.52 |
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 officialZELLER, MATTHEW (CEO)