J Robert West, M.D., INC

J Robert West, M.D., INC was paid $14.75M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.

33Billing provider infoJ ROBERT WEST, M.D., INC
NEWPORT BEACH, CA 92660

33aNPI1932154788assigned 05/23/2006

33bProvider typeNon-Pharmacy Dispensing Site

28Total paid$14.75M

24GClaims253,876

24DCodes billed33

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Non-Pharmacy Dispensing Site providers in California

Rank by total paid#3 of 22

Median peer was paid$112K

This provider vs. median132×

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	20,577	$1.13M
2019	55,536	$2.92M
2020	51,463	$2.76M
2021	31,065	$1.90M
2022	26,578	$1.77M
2023	35,774	$2.37M
2024incomplete	32,883	$1.91M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	32%	95,043	89,865	$4.67M
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	19%	42,054	40,180	$2.82M
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	16%	35,071	34,318	$2.41M
17110		11%	20,890	19,041	$1.60M
11102		4.4%	8,960	8,798	$648K
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	4.2%	6,558	6,540	$615K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	3.4%	8,527	8,422	$501K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	6,702	6,490	$250K
17311		1.7%	814	720	$248K
17000		1.0%	3,721	3,615	$150K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	<1%	635	591	$135K
17312		<1%	420	415	$121K

21 more codes

11100		<1%	1,512	$98K
88305	Level IV - Surgical pathology, gross and microscopic examination	<1%	4,387	$92K
11900		<1%	2,553	$81K
11200		<1%	998	$58K
94060		<1%	1,332	$57K
95117		<1%	6,250	$45K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	96	$25K
17111		<1%	342	$22K
17003		<1%	1,165	$22K
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	<1%	4,228	$15K
11103		<1%	218	$13K
96910		<1%	141	$10K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	796	$10K
13132		<1%	26	$4K
11104		<1%	53	$4K
13121		<1%	14	$3K
13101		<1%	13	$3K
81025		<1%	288	$1K
11101		<1%	42	$966.53
J1040	Injection, methylprednisolone acetate, 80 mg	<1%	13	$73.50
99024		0%	14	$0.00

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 officialBLANCHARD, LUCIUS (OWNER/PHYSICIAN)

Parent organizationJ ROBERT WEST, M.D., INC