Blumenthal, Richard

Blumenthal, Richard was paid $34K by Medicaid between Jan 2018 and Aug 2023, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.

33Billing provider infoBLUMENTHAL, RICHARD
LOS ALAMITOS, CA 90720

33aNPI1982718995assigned 08/18/2006

33bProvider typePediatrics Physician

28Total paid$34K

24GClaims2,055

24DCodes billed13

24AFirst – last monthJan 2018 – Aug 2023

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#641 of 1,490

Median peer was paid$15K

This provider vs. median2.3×

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	750	$13K
2019	878	$10K
2020	117	$2K
2021	100	$2K
2022	43	$1K
2023	167	$5K

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	56%	892	697	$19K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	105	105	$5K
G9920	Screening performed and negative	11%	134	134	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.3%	209	145	$2K
92551		3.5%	179	179	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.5%	27	18	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.7%	33	25	$912.96
90686		1.9%	122	122	$648.00
81000		<1%	142	142	$222.04
90685		<1%	27	26	$153.00
90658		<1%	13	13	$117.00
99173		<1%	123	123	$81.00

1 more codes

96159

<1%

$20.11

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.