Managed care
Bustos Associates LLC
Bustos Associates LLC was paid $194K by Medicaid between Jan 2018 and Sep 2024, across 7 billing codes. Its largest line is 90961, — 46% of everything it billed.
33Billing provider infoBUSTOS ASSOCIATES LLC
WASHINGTON, DC 20017
WASHINGTON, DC 20017
33aNPI1922335561assigned 11/03/2009
33bProvider typePreferred Provider Organization
28Total paid$194K
24GClaims4,499
24DCodes billed7
24AFirst – last monthJan 2018 – Sep 2024
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 | 1,507 | $60K | |
| 2019 | 940 | $37K | |
| 2020 | 531 | $13K | |
| 2021 | 424 | $9K | |
| 2022 | 455 | $27K | |
| 2023 | 480 | $36K | |
| 2024incomplete | 162 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90961 | 46% | 1,638 | 1,601 | $88K | |
| 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% | 1,619 | 1,558 | $60K |
| 90962 | 10% | 451 | 434 | $20K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | 9.6% | 420 | 413 | $19K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.4% | 262 | 110 | $7K |
| 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% | 24 | 24 | $673.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 85 | 82 | $45.99 |
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 officialYRASTORZA, MICHELLE (REVENUE CYCLE SPECIALIST)
| Provider | Location | Paid |
|---|---|---|
| Doris Pablo-Bustos, MD PC | Washington, DC | $54K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.