Physician
Donald J Portocarrero D O INC
Donald J Portocarrero D O INC was paid $656K by Medicaid between Jan 2022 and Nov 2024, across 10 billing codes. Its largest line is 43239, Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple — 29% of everything it billed.
33Billing provider infoDONALD J PORTOCARRERO D O INC
ARCADIA, CA 91007
ARCADIA, CA 91007
33aNPI1144824285assigned 11/30/2020
33bProvider typeGastroenterology Physician
28Total paid$656K
24GClaims6,316
24DCodes billed10
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Gastroenterology Physician providers in California
Rank by total paid#70 of 363
Median peer was paid$55K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2022 | 473 | $49K | |
| 2023 | 2,264 | $275K | |
| 2024incomplete | 3,579 | $332K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 29% | 1,040 | 1,039 | $193K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | 18% | 468 | 468 | $121K |
| 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 | 18% | 2,124 | 2,124 | $118K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 12% | 338 | 338 | $80K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 9.3% | 197 | 197 | $61K |
| 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 | 6.7% | 1,457 | 1,443 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 534 | 534 | $30K |
| 99223 | Prolong inpt eval add15 m | <1% | 45 | 45 | $6K |
| 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% | 99 | 89 | $2K |
| 99152 | <1% | 14 | 14 | $390.96 |
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 officialPORTOCARRERO, DONALD (AUTHORIZED OFFICIAL)