Physician
Ahmad Bailony MD INC
Ahmad Bailony MD INC was paid $1.74M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99381, — 21% of everything it billed.
33Billing provider infoAHMAD BAILONY MD INC
NATIONAL CITY, CA 91950
NATIONAL CITY, CA 91950
33aNPI1962891440assigned 01/21/2015
33bProvider typePediatrics Physician
28Total paid$1.74M
24GClaims132,236
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#83 of 1,490
Median peer was paid$15K
This provider vs. median116×
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 | 14,987 | $250K | |
| 2019 | 15,272 | $238K | |
| 2020 | 13,832 | $206K | |
| 2021 | 20,456 | $273K | |
| 2022 | 22,454 | $251K | |
| 2023 | 25,722 | $307K | |
| 2024incomplete | 19,513 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99381 | 21% | 3,323 | 3,224 | $361K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 20% | 7,402 | 7,254 | $347K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 14,929 | 14,038 | $278K |
| 99460 | 8.3% | 2,986 | 2,965 | $146K | |
| G9920 | Screening performed and negative | 7.1% | 6,237 | 6,229 | $124K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 8,187 | 8,105 | $77K |
| 99238 | Hospital discharge day management, 30 minutes or less | 3.3% | 1,486 | 1,471 | $58K |
| 96156 | 3.2% | 9,949 | 9,932 | $56K | |
| 90698 | 1.6% | 7,523 | 7,499 | $29K | |
| 90670 | 1.5% | 6,832 | 6,815 | $27K | |
| 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 | 1.5% | 1,782 | 1,734 | $27K |
| 90680 | 1.5% | 5,296 | 5,281 | $25K |
49 more codes
| 99462 | 1.4% | 982 | $25K | |
| 90619 | 1.4% | 116 | $24K | |
| 90744 | 1.2% | 4,290 | $20K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 4,430 | $19K |
| 90651 | 1.0% | 217 | $18K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,730 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 952 | $7K |
| 90685 | <1% | 870 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 66 | $5K |
| 90656 | <1% | 281 | $5K | |
| 92551 | <1% | 8,555 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,672 | $5K |
| 0071A | <1% | 104 | $4K | |
| 90686 | <1% | 3,671 | $4K | |
| 0072A | <1% | 95 | $4K | |
| 0002A | <1% | 90 | $4K | |
| 90633 | <1% | 3,195 | $3K | |
| 0001A | <1% | 85 | $3K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 158 | $3K |
| 90677 | <1% | 1,017 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 33 | $2K |
| 90716 | <1% | 1,916 | $1K | |
| 90707 | <1% | 1,855 | $1K | |
| 90700 | <1% | 328 | $1K | |
| 85014 | <1% | 596 | $1K | |
| 90648 | <1% | 262 | $936.00 | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 18 | $844.82 |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 18 | $703.65 |
| 90710 | <1% | 464 | $522.00 | |
| 90696 | <1% | 639 | $395.25 | |
| 99188 | <1% | 192 | $350.13 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 21 | $334.08 |
| 99000 | <1% | 94 | $333.91 | |
| 90688 | <1% | 15 | $312.20 | |
| 90734 | <1% | 379 | $153.00 | |
| 90380 | <1% | 18 | $135.00 | |
| 90381 | <1% | 18 | $90.00 | |
| 90715 | <1% | 142 | $81.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 3,710 | $20.00 |
| 99173 | <1% | 6,755 | $16.53 | |
| 90621 | <1% | 42 | $9.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 78 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 360 | $0.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 3,929 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 146 | $0.00 |
| 3078F | 0% | 67 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,558 | $0.00 |
| 3074F | 0% | 57 | $0.00 | |
| 1125F | 0% | 18 | $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 officialBAILONY, AHMAD (CEO)