Clinic
Edward A. Ruiz MD, Professional Corporation
Edward A. Ruiz MD, Professional Corporation was paid $5K by Medicaid between Sep 2019 and Jan 2023, across 54 billing codes. Its largest line is 92552, — 99% of everything it billed.
33Billing provider infoEDWARD A. RUIZ MD, PROFESSIONAL CORPORATION
LA QUINTA, CA 92253
LA QUINTA, CA 92253
33aNPI1003072620assigned 08/03/2008
33bProvider typeClinic/Center
28Total paid$5K
24GClaims23,952
24DCodes billed54
24AFirst – last monthSep 2019 – Jan 2023
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#408 of 504
Median peer was paid$102K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 38 | $0.00 | |
| 2020 | 2,385 | $0.00 | |
| 2021 | 10,325 | $2K | |
| 2022 | 9,627 | $2K | |
| 2023 | 1,577 | $332.50 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92552 | 99% | 586 | 585 | $5K | |
| 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% | 2,498 | 2,353 | $37.50 |
| H0049 | Alcohol and/or drug screening | <1% | 1,912 | 1,802 | $1.00 |
| G9920 | Screening performed and negative | 0% | 1,154 | 1,137 | $0.00 |
| 99408 | 0% | 420 | 400 | $0.00 | |
| 3078F | 0% | 1,121 | 1,082 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 13 | 13 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 632 | 597 | $0.00 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 12 | 12 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,127 | 1,100 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 140 | 139 | $0.00 |
| 98960 | 0% | 293 | 276 | $0.00 |
42 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 287 | $0.00 |
| 3077F | 0% | 198 | $0.00 | |
| 99173 | 0% | 685 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 53 | $0.00 |
| 1124F | 0% | 193 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 26 | $0.00 |
| 1158F | 0% | 85 | $0.00 | |
| 96160 | 0% | 491 | $0.00 | |
| 98966 | 0% | 48 | $0.00 | |
| 4004F | 0% | 596 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 12 | $0.00 |
| 3050F | 0% | 54 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 76 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 20 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 15 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| 3074F | 0% | 1,257 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 1,101 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,218 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 741 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 341 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine) | 0% | 493 | $0.00 |
| 1036F | 0% | 1,610 | $0.00 | |
| 97802 | 0% | 1,411 | $0.00 | |
| 1000F | 0% | 193 | $0.00 | |
| 3049F | 0% | 52 | $0.00 | |
| 3008F | 0% | 1,287 | $0.00 | |
| 3079F | 0% | 580 | $0.00 | |
| 1031F | 0% | 297 | $0.00 | |
| 3011F | 0% | 22 | $0.00 | |
| 99386 | 0% | 14 | $0.00 | |
| 3075F | 0% | 272 | $0.00 | |
| 94760 | 0% | 16 | $0.00 | |
| 99385 | 0% | 41 | $0.00 | |
| 96161 | 0% | 16 | $0.00 | |
| 3080F | 0% | 87 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 31 | $0.00 |
| 3044F | 0% | 13 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 29 | $0.00 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 21 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 14 | $0.00 |
| 3048F | 0% | 34 | $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 officialRUIZ, EDWARD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Grace Requires Understanding INC. | Las Cruces, NM | $37.90M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.