Physician
San Jose Pacific Neurology CNTR Prof Cor
San Jose Pacific Neurology CNTR Prof Cor was paid $32K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoSAN JOSE PACIFIC NEUROLOGY CNTR PROF COR
SAN JOSE, CA 95116
SAN JOSE, CA 95116
33aNPI1124174297assigned 01/25/2007
33bProvider typePsychiatry Physician
28Total paid$32K
24GClaims9,248
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Psychiatry Physician providers in California
Rank by total paid#224 of 483
Median peer was paid$24K
This provider vs. median1.3×
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 | 1,204 | $6K | |
| 2019 | 1,484 | $3K | |
| 2020 | 1,003 | $2K | |
| 2021 | 1,511 | $3K | |
| 2022 | 1,447 | $3K | |
| 2023 | 1,437 | $8K | |
| 2024incomplete | 1,162 | $7K |
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 | 51% | 7,450 | 7,342 | $16K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 28% | 530 | 265 | $9K |
| 99222 | Initial hospital care, per day, moderate complexity | 6.6% | 119 | 119 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.5% | 770 | 757 | $2K |
| 99223 | Prolong inpt eval add15 m | 5.6% | 129 | 126 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 169 | 164 | $385.59 |
| 99205 | Prolong outpt/office vis | <1% | 33 | 33 | $297.35 |
| 99442 | 0% | 35 | 35 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 13 | 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 officialGUPTA, RAJ (M.D)
| Provider | Location | Paid |
|---|---|---|
| Northern Respiratory Specialist, PC | Mahopac, NY | $104K |
| Garden State Spine and Pain Institute LLC | Eatontown, NJ | $14K |
| Raj K Gupta MD PC | Taylor, MI | $9K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.