Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › WESTMINSTER › BOLSA MEDICAL GROUP

BOLSA MEDICAL GROUP

NPI: 1992732192 · WESTMINSTER, CA 92683 · Family Medicine Physician · NPI assigned 06/26/2006

$7.72M
Total Medicaid Paid
633,899
Total Claims
583,926
Beneficiaries
121
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPHAM, CO (PRESIDENT)
NPI Enumeration Date06/26/2006

Related Entities

Other providers sharing the same authorized official: PHAM, CO

ProviderCityStateTotal Paid
BOLSA OUTPATIENT SURGERY CENTER A MEDICAL CORPORATION WESTMINSTER CA $1.27M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61,323 $1.64M
2019 91,193 $1.56M
2020 70,884 $728K
2021 99,196 $1.18M
2022 119,739 $1.24M
2023 104,502 $962K
2024 87,062 $421K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 115,047 100,613 $1.54M
77067 Screening mammography, bilateral, including computer-aided detection 8,491 8,487 $868K
76641 13,198 7,131 $812K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7,694 7,658 $415K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,568 2,543 $270K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6,005 5,992 $262K
99215 Prolong outpt/office vis 2,073 2,073 $259K
99490 Ccm add 20min 15,511 15,511 $255K
92551 20,460 20,399 $200K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 24,286 21,813 $195K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,275 3,268 $187K
90686 13,264 13,169 $169K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,573 2,566 $160K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,469 3,414 $150K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,228 3,201 $134K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,339 10,751 $118K
76642 2,209 1,362 $116K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,515 2,513 $94K
0012A 2,223 2,223 $89K
90670 1,759 1,716 $88K
0011A 2,159 2,159 $84K
90651 2,163 2,151 $80K
90621 2,534 2,509 $69K
90715 2,613 2,602 $67K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 965 899 $65K
76536 1,014 1,014 $59K
90688 2,606 2,600 $57K
90734 2,057 2,045 $50K
90716 1,345 1,330 $43K
90649 667 663 $41K
77080 1,816 1,811 $39K
81000 18,138 17,939 $38K
71045 Radiologic examination, chest; single view 2,679 2,668 $36K
0013A 865 865 $35K
90739 239 236 $34K
85018 19,540 19,465 $33K
72100 1,430 1,427 $32K
90658 1,754 1,752 $32K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 547 543 $30K
90707 1,336 1,327 $30K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 7,230 7,007 $23K
72050 706 705 $21K
71046 Radiologic examination, chest; 2 views 782 780 $18K
90633 1,364 1,349 $17K
90648 1,567 1,521 $17K
90656 1,706 1,706 $16K
90662 1,128 1,128 $16K
90700 1,159 1,135 $15K
99243 200 200 $15K
90732 136 136 $13K
99244 Office or other outpatient consultation, moderate to high complexity 129 129 $13K
90713 894 879 $12K
93000 1,296 1,286 $12K
90674 462 461 $11K
99497 438 436 $11K
90681 396 378 $11K
90677 99 99 $10K
90694 479 474 $9K
73030 435 423 $8K
86580 1,637 1,594 $7K
99173 2,554 2,553 $7K
83655 615 612 $7K
36415 Collection of venous blood by venipuncture 971 960 $7K
70210 400 399 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 678 678 $6K
73560 233 219 $5K
G0008 Administration of influenza virus vaccine 1,488 1,483 $5K
90685 266 265 $5K
85999 1,601 1,598 $5K
96150 248 248 $4K
73562 321 283 $4K
0134A 95 95 $4K
90744 282 280 $4K
81025 2,131 2,073 $3K
H1001 Prenatal care, at-risk enhanced service; antepartum management 25 15 $3K
90619 598 597 $3K
0064A 78 78 $3K
90723 277 263 $3K
58100 80 52 $3K
90696 144 144 $3K
99384 38 38 $3K
90682 64 64 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 439 413 $2K
81002 2,819 2,771 $2K
83014 695 695 $2K
77065 Tomosynthesis, mammo 12 12 $2K
76813 13 13 $1K
76770 16 15 $1K
99383 14 14 $990.22
70220 29 29 $880.73
99462 24 12 $673.58
72082 12 12 $609.72
73620 39 39 $522.96
90671 134 134 $468.00
99460 12 12 $434.68
99381 12 12 $409.36
69210 13 13 $396.89
73630 12 12 $307.67
99000 74 73 $300.69
73120 12 12 $282.96
90653 40 40 $220.97
90647 20 20 $180.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 29 27 $165.88
G0009 Administration of pneumococcal vaccine 79 79 $131.93
3074F 72,294 65,395 $96.51
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 817 768 $96.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 439 439 $26.76
88150 25 25 $14.54
1170F 605 603 $13.72
90620 24 24 $9.00
3078F 65,738 59,723 $0.81
3077F 4,267 4,037 $0.41
3079F 19,951 18,705 $0.35
3075F 12,265 11,713 $0.31
3008F 86,511 77,599 $0.25
3080F 2,598 2,475 $0.08
1126F 626 626 $0.00
90657 14 13 $0.00
3044F 66 65 $0.00
1125F 14 14 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $0.00