Physician
Mercado, Jerry
Mercado, Jerry was paid $62K by Medicaid between Jan 2018 and May 2024, across 27 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 20% of everything it billed.
33Billing provider infoMERCADO, JERRY
SAN JOSE, CA 95124
SAN JOSE, CA 95124
33aNPI1023296548assigned 02/06/2008
33bProvider typePediatrics Physician
28Total paid$62K
24GClaims5,059
24DCodes billed27
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#556 of 1,490
Median peer was paid$15K
This provider vs. median4.1×
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 | 3,308 | $45K | |
| 2019 | 1,725 | $16K | |
| 2024incomplete | 26 | $128.41 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20% | 218 | 218 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 269 | 269 | $9K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 202 | 202 | $9K |
| 92552 | 14% | 629 | 628 | $8K | |
| 92081 | 9.2% | 566 | 566 | $6K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 173 | 172 | $5K |
| 90686 | 5.2% | 393 | 392 | $3K | |
| 90670 | 2.5% | 197 | 197 | $2K | |
| 90648 | 2.4% | 189 | 188 | $1K | |
| 99384 | 1.9% | 24 | 24 | $1K | |
| 90657 | 1.3% | 117 | 117 | $820.00 | |
| 90723 | 1.0% | 91 | 91 | $634.88 |
15 more codes
| 90651 | <1% | 60 | $535.68 | |
| 99383 | <1% | 14 | $483.60 | |
| 90707 | <1% | 58 | $406.72 | |
| 90716 | <1% | 58 | $406.72 | |
| 90734 | <1% | 40 | $376.96 | |
| 90680 | <1% | 46 | $327.36 | |
| 90620 | <1% | 31 | $238.08 | |
| 90633 | <1% | 19 | $168.64 | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $87.39 |
| 90700 | <1% | 12 | $59.52 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $41.02 |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 449 | $28.86 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 1,140 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 25 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 13 | $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.