Physician
Cresencia D Banzuela M.D. INC
Cresencia D Banzuela M.D. INC was paid $375K by Medicaid between Feb 2018 and Nov 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoCRESENCIA D BANZUELA M.D. INC
CORONA, CA 92879
CORONA, CA 92879
33aNPI1033134770assigned 07/13/2006
33bProvider typePediatrics Physician
28Total paid$375K
24GClaims67,442
24DCodes billed59
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#270 of 1,490
Median peer was paid$15K
This provider vs. median25×
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 | 3,084 | $25K | |
| 2019 | 11,383 | $67K | |
| 2020 | 9,945 | $48K | |
| 2021 | 12,228 | $53K | |
| 2022 | 10,267 | $41K | |
| 2023 | 10,027 | $70K | |
| 2024incomplete | 10,508 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 14,891 | 13,391 | $72K |
| 92552 | 19% | 6,279 | 6,262 | $70K | |
| 97802 | 17% | 5,802 | 5,669 | $63K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.8% | 997 | 977 | $37K |
| 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 | 4.2% | 1,518 | 1,391 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.8% | 1,705 | 1,697 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 2,156 | 2,153 | $12K |
| G9920 | Screening performed and negative | 3.2% | 4,360 | 4,352 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 2,167 | 2,164 | $11K |
| 90686 | 2.1% | 2,106 | 2,099 | $8K | |
| 99381 | 2.1% | 93 | 93 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.7% | 2,550 | 2,546 | $6K |
47 more codes
| 90670 | 1.7% | 1,182 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 1,481 | $5K |
| 90651 | 1.2% | 1,021 | $5K | |
| 90698 | 1.0% | 745 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 524 | $3K |
| 90734 | <1% | 510 | $2K | |
| 90744 | <1% | 352 | $2K | |
| 96127 | <1% | 3,627 | $2K | |
| 90633 | <1% | 594 | $2K | |
| 90700 | <1% | 194 | $1K | |
| 90681 | <1% | 184 | $1K | |
| 90677 | <1% | 140 | $1K | |
| 90713 | <1% | 137 | $1K | |
| 90620 | <1% | 439 | $1K | |
| 90648 | <1% | 126 | $933.24 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 100 | $869.28 |
| 90715 | <1% | 254 | $829.79 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $803.45 |
| 99382 | <1% | 12 | $684.62 | |
| 90697 | <1% | 156 | $584.73 | |
| 90716 | <1% | 133 | $526.63 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 112 | $395.01 |
| 90707 | <1% | 92 | $368.27 | |
| 99383 | <1% | 25 | $322.27 | |
| 99442 | <1% | 198 | $279.88 | |
| 99384 | <1% | 12 | $260.48 | |
| 90656 | <1% | 118 | $247.05 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 147 | $229.60 |
| 90619 | <1% | 302 | $197.19 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 382 | $132.23 |
| 90710 | <1% | 80 | $131.82 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 37 | $116.00 |
| 99188 | <1% | 99 | $108.00 | |
| 99000 | <1% | 997 | $98.92 | |
| 90696 | <1% | 53 | $93.00 | |
| 99408 | <1% | 249 | $75.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,540 | $72.60 |
| 99441 | <1% | 225 | $66.80 | |
| 99173 | <1% | 2,895 | $57.50 | |
| 99403 | 0% | 89 | $0.00 | |
| 1220F | 0% | 53 | $0.00 | |
| 3351F | 0% | 434 | $0.00 | |
| 3008F | 0% | 173 | $0.00 | |
| 96160 | 0% | 481 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 980 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 109 | $0.00 |
| 90461 | 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 officialBANZUELA, CRESENCIA (DIRECTOR)