Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Bolsa Medical Group

Bolsa Medical Group was paid $7.72M by Medicaid between Jan 2018 and Nov 2024, across 121 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoBOLSA MEDICAL GROUP
WESTMINSTER, CA 92683
33aNPI1992732192assigned 06/26/2006
28Total paid$7.72M
24GClaims633,899
24DCodes billed121
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#50 of 2,511
Median peer was paid$13K
This provider vs. median601×

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

$0$100K$200K$300K2018201920202021202220232024
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
YearClaimsPaid
201861,323$1.64M
201991,193$1.56M
202070,884$728K
202199,196$1.18M
2022119,739$1.24M
2023104,502$962K
2024incomplete87,062$421K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 115,047 100,613 $1.54M
77067 Screening mammography, bilateral, including computer-aided detection 11% 8,491 8,487 $868K
76641 11% 13,198 7,131 $812K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.4% 7,694 7,658 $415K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 3.5% 2,568 2,543 $270K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.4% 6,005 5,992 $262K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.4% 2,073 2,073 $259K
99490 Ccm add 20min 3.3% 15,511 15,511 $255K
92551 2.6% 20,460 20,399 $200K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.5% 24,286 21,813 $195K
76700 Ultrasound, abdominal, real time with image documentation; complete 2.4% 3,275 3,268 $187K
90686 2.2% 13,264 13,169 $169K
109 more codes
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2.1% 2,573 $160K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.9% 3,469 $150K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1.7% 3,228 $134K
99214 Doctor's office visit, returning patient (more involved) 1.5% 11,339 $118K
76642 1.5% 2,209 $116K
99203 Doctor's office visit, new patient (routine) 1.2% 2,515 $94K
0012A 1.1% 2,223 $89K
90670 1.1% 1,759 $88K
0011A 1.1% 2,159 $84K
90651 1.0% 2,163 $80K
90621 <1% 2,534 $69K
90715 <1% 2,613 $67K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 965 $65K
76536 <1% 1,014 $59K
90688 <1% 2,606 $57K
90734 <1% 2,057 $50K
90716 <1% 1,345 $43K
90649 <1% 667 $41K
77080 <1% 1,816 $39K
81000 <1% 18,138 $38K
71045 Radiologic examination, chest; single view <1% 2,679 $36K
0013A <1% 865 $35K
90739 <1% 239 $34K
85018 <1% 19,540 $33K
72100 <1% 1,430 $32K
90658 <1% 1,754 $32K
99204 Doctor's office visit, new patient (more involved) <1% 547 $30K
90707 <1% 1,336 $30K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 7,230 $23K
72050 <1% 706 $21K
71046 Radiologic examination, chest; 2 views <1% 782 $18K
90633 <1% 1,364 $17K
90648 <1% 1,567 $17K
90656 <1% 1,706 $16K
90662 <1% 1,128 $16K
90700 <1% 1,159 $15K
99243 <1% 200 $15K
90732 <1% 136 $13K
99244 Office or other outpatient consultation, moderate to high complexity <1% 129 $13K
90713 <1% 894 $12K
93000 <1% 1,296 $12K
90674 <1% 462 $11K
99497 <1% 438 $11K
90681 <1% 396 $11K
90677 <1% 99 $10K
90694 <1% 479 $9K
73030 <1% 435 $8K
86580 <1% 1,637 $7K
99173 <1% 2,554 $7K
83655 <1% 615 $7K
36415 Collection of venous blood by venipuncture <1% 971 $7K
70210 <1% 400 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 678 $6K
73560 <1% 233 $5K
G0008 Administration of influenza virus vaccine <1% 1,488 $5K
90685 <1% 266 $5K
85999 <1% 1,601 $5K
96150 <1% 248 $4K
73562 <1% 321 $4K
0134A <1% 95 $4K
90744 <1% 282 $4K
81025 <1% 2,131 $3K
H1001 Prenatal care, at-risk enhanced service; antepartum management <1% 25 $3K
90619 <1% 598 $3K
0064A <1% 78 $3K
90723 <1% 277 $3K
58100 <1% 80 $3K
90696 <1% 144 $3K
99384 <1% 38 $3K
90682 <1% 64 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 439 $2K
81002 <1% 2,819 $2K
83014 <1% 695 $2K
77065 Tomosynthesis, mammo <1% 12 $2K
76813 <1% 13 $1K
76770 <1% 16 $1K
99383 <1% 14 $990.22
70220 <1% 29 $880.73
99462 <1% 24 $673.58
72082 <1% 12 $609.72
73620 <1% 39 $522.96
90671 <1% 134 $468.00
99460 <1% 12 $434.68
99381 <1% 12 $409.36
69210 <1% 13 $396.89
73630 <1% 12 $307.67
99000 <1% 74 $300.69
73120 <1% 12 $282.96
90653 <1% 40 $220.97
90647 <1% 20 $180.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 29 $165.88
G0009 Administration of pneumococcal vaccine <1% 79 $131.93
3074F <1% 72,294 $96.51
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 817 $96.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 439 $26.76
88150 <1% 25 $14.54
1170F <1% 605 $13.72
90620 <1% 24 $9.00
3078F <1% 65,738 $0.81
3077F <1% 4,267 $0.41
3079F <1% 19,951 $0.35
3075F <1% 12,265 $0.31
3008F <1% 86,511 $0.25
3080F <1% 2,598 $0.08
1126F 0% 626 $0.00
90657 0% 14 $0.00
3044F 0% 66 $0.00
1125F 0% 14 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 12 $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 officialPHAM, CO (PRESIDENT)
Same official

Other billing entities under PHAM, CO

Full network →
ProviderLocationPaid
Bolsa Outpatient Surgery Center a Medical CorporationWestminster, CA$1.27M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.