Physician
Oscar Hernandez MD Medical Corporation
Oscar Hernandez MD Medical Corporation was paid $13K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.
33Billing provider infoOSCAR HERNANDEZ MD MEDICAL CORPORATION
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
33aNPI1124176482assigned 01/05/2007
33bProvider typeFamily Medicine Physician
28Total paid$13K
24GClaims3,244
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,235 of 2,511
Median peer was paid$13K
This provider vs. median1.0×
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 | 592 | $677.97 | |
| 2019 | 365 | $2K | |
| 2020 | 643 | $2K | |
| 2021 | 412 | $1K | |
| 2022 | 498 | $3K | |
| 2023 | 425 | $3K | |
| 2024incomplete | 309 | $3K |
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 | 92% | 1,961 | 1,845 | $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 | 4.1% | 68 | 65 | $543.73 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 3.5% | 1,054 | 1,008 | $469.66 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 56 | 52 | $0.00 |
| 1006F | 0% | 52 | 51 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 33 | 31 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 20 | 19 | $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 officialNYE, RITA (BILLING SUPER)
| Provider | Location | Paid |
|---|---|---|
| San Joaquin Prime Care Medical Group INC | Exeter, CA | $1.14M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.