Physician
Theodore J. Caliendo, M.D., a Medical Corporation
Theodore J. Caliendo, M.D., a Medical Corporation was paid $1.16M by Medicaid between Jan 2018 and Dec 2020, across 49 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoTHEODORE J. CALIENDO, M.D., A MEDICAL CORPORATION
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1003993775assigned 11/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.16M
24GClaims38,370
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#152 of 2,511
Median peer was paid$13K
This provider vs. median90×
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 | 10,255 | $266K | |
| 2019 | 14,593 | $408K | |
| 2020 | 13,522 | $489K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 6,131 | 5,441 | $249K |
| 96156 | 13% | 1,740 | 1,202 | $147K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 10% | 1,666 | 1,663 | $117K |
| 99383 | 8.4% | 1,383 | 1,380 | $97K | |
| 97802 | 8.2% | 3,183 | 3,174 | $96K | |
| 99384 | 8.1% | 1,117 | 1,116 | $94K | |
| 96150 | 5.8% | 2,937 | 2,306 | $67K | |
| 92551 | 3.2% | 2,803 | 2,791 | $37K | |
| 97803 | 2.8% | 1,238 | 1,229 | $32K | |
| 99382 | 2.4% | 455 | 455 | $27K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 350 | 350 | $25K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 391 | 390 | $22K |
37 more codes
| 96151 | 1.8% | 955 | $21K | |
| 87110 | 1.4% | 886 | $16K | |
| 90686 | 1.3% | 1,611 | $15K | |
| G9920 | Screening performed and negative | 1.3% | 503 | $15K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 267 | $13K |
| D1206 | Topical application of fluoride varnish | <1% | 605 | $11K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 635 | $8K |
| 85018 | <1% | 3,390 | $8K | |
| 81002 | <1% | 2,379 | $5K | |
| 87070 | <1% | 643 | $5K | |
| 90734 | <1% | 365 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 115 | $3K |
| 90651 | <1% | 332 | $3K | |
| 90620 | <1% | 252 | $2K | |
| 96127 | <1% | 469 | $2K | |
| 99188 | <1% | 125 | $2K | |
| 99173 | <1% | 78 | $2K | |
| 99385 | <1% | 12 | $2K | |
| 99381 | <1% | 28 | $2K | |
| 90670 | <1% | 169 | $2K | |
| 90698 | <1% | 153 | $1K | |
| 90688 | <1% | 144 | $1K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 19 | $1K |
| 92552 | <1% | 76 | $1K | |
| 90715 | <1% | 97 | $900.51 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 112 | $761.91 |
| 90649 | <1% | 80 | $711.00 | |
| 90710 | <1% | 79 | $711.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 20 | $686.80 |
| 90680 | <1% | 70 | $630.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 53 | $567.10 |
| 90685 | <1% | 62 | $566.44 | |
| 90633 | <1% | 55 | $495.00 | |
| 83655 | <1% | 33 | $371.25 | |
| 81007 | <1% | 79 | $192.51 | |
| 90744 | <1% | 12 | $122.26 | |
| 90696 | <1% | 13 | $117.00 |
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 officialCALIENDO, SYLVIA (C.F.O./PRACTICE ADMINISTRATOR)