Clinic
Isaias De Guzman Paja JR. MD INC
Isaias De Guzman Paja JR. MD INC was paid $428K by Medicaid between Jan 2018 and Oct 2024, across 35 billing codes. Its largest line is 99202, Office or other outpatient visit for the evaluation and management of a new patient, straightforward — 41% of everything it billed.
33Billing provider infoISAIAS DE GUZMAN PAJA JR. MD INC
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
33aNPI1053367896assigned 05/25/2006
33bProvider typeClinic/Center
28Total paid$428K
24GClaims40,133
24DCodes billed35
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#171 of 504
Median peer was paid$102K
This provider vs. median4.2×
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 | 10,868 | $378K | |
| 2019 | 9,027 | $25K | |
| 2020 | 4,605 | $7K | |
| 2021 | 3,875 | $5K | |
| 2022 | 4,224 | $2K | |
| 2023 | 4,127 | $6K | |
| 2024incomplete | 3,407 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 41% | 1,312 | 714 | $178K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 41% | 3,115 | 2,409 | $178K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.2% | 11,846 | 9,910 | $22K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 2,904 | 2,660 | $12K |
| 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 | 2.3% | 2,678 | 2,507 | $10K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 2.0% | 677 | 677 | $9K |
| 92551 | 1.1% | 2,907 | 2,903 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 283 | 282 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 279 | 277 | $3K |
| 99000 | <1% | 543 | 543 | $2K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 206 | 205 | $2K |
| G9920 | Screening performed and negative | <1% | 226 | 226 | $1K |
23 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 87 | $1K |
| 81002 | <1% | 2,410 | $422.92 | |
| 85018 | <1% | 901 | $257.74 | |
| 92552 | <1% | 86 | $203.62 | |
| 90688 | <1% | 101 | $188.10 | |
| 90744 | <1% | 12 | $108.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 12 | $81.00 |
| 92081 | <1% | 110 | $63.79 | |
| 3008F | <1% | 4,537 | $51.30 | |
| 90658 | <1% | 42 | $38.90 | |
| 3078F | <1% | 1,848 | $37.50 | |
| 3074F | <1% | 1,840 | $36.30 | |
| 90734 | <1% | 12 | $9.00 | |
| 3075F | <1% | 179 | $3.60 | |
| 3044F | <1% | 404 | $3.60 | |
| 3077F | <1% | 179 | $2.10 | |
| 3079F | <1% | 251 | $2.10 | |
| 3080F | <1% | 48 | $0.60 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 16 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 1125F | 0% | 16 | $0.00 | |
| 3048F | 0% | 29 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 25 | $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 officialPAJA, ISAIAS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| The Vidal Womans Medical Clinic INC. | Los Angeles, CA | $774K |
| PMD Wellness Center INC | Long Beach, CA | $6K |
| PMD Wellness Center INC. | Long Beach, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.