Physician
Prisma Care, a Medical Corporation
Prisma Care, a Medical Corporation was paid $8K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.
33Billing provider infoPRISMA CARE, A MEDICAL CORPORATION
CHULA VISTA, CA 91911
CHULA VISTA, CA 91911
33aNPI1093809139assigned 10/03/2006
33bProvider typeInternal Medicine Physician
28Total paid$8K
24GClaims6,964
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#1,466 of 2,679
Median peer was paid$13K
This provider vs. median0.6×
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 | 793 | $4K | |
| 2019 | 700 | $2K | |
| 2020 | 270 | $201.30 | |
| 2021 | 477 | $89.93 | |
| 2022 | 3,332 | $1K | |
| 2023 | 1,251 | $183.48 | |
| 2024incomplete | 141 | $831.44 |
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 | 63% | 1,343 | 1,293 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 1,454 | 1,391 | $3K |
| A4670 | Automatic blood pressure monitor | 0% | 93 | 90 | $0.00 |
| 1170F | 0% | 706 | 684 | $0.00 | |
| 3075F | 0% | 739 | 711 | $0.00 | |
| 3008F | 0% | 215 | 208 | $0.00 | |
| 3079F | 0% | 757 | 729 | $0.00 | |
| 3074F | 0% | 34 | 33 | $0.00 | |
| 1157F | 0% | 18 | 17 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 50 | 50 | $0.00 |
| 3080F | 0% | 41 | 39 | $0.00 | |
| 1159F | 0% | 756 | 724 | $0.00 |
4 more codes
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 officialLOPEZ, JOSE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jose L. Lopez, DDS, INC | San Diego, CA | $1.64M |
| Jose J Lopez Agudo Oftalmologo CSP | Fajardo, PR | $766K |
| Orleans Medical Clinic,llc | Orleans, IN | $365K |
| Genesee Family Care PC | Burton, MI | $105K |
| Jose M Lopez, D.M.D., PA | El Paso, TX | $3K |
| Jose a Lopez M.D P.A | Oakland, FL | $861.78 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.