Physician
Denicola, Gregg
Denicola, Gregg was paid $1.33M by Medicaid between Jan 2018 and Sep 2022, across 19 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.
33Billing provider infoDENICOLA, GREGG
YORBA LINDA, CA 92886
YORBA LINDA, CA 92886
33aNPI1164469912assigned 06/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.33M
24GClaims43,741
24DCodes billed19
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#135 of 2,511
Median peer was paid$13K
This provider vs. median104×
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 | 5,975 | $175K | |
| 2019 | 9,440 | $322K | |
| 2020 | 10,013 | $272K | |
| 2021 | 11,727 | $359K | |
| 2022 | 6,586 | $204K |
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 | 59% | 17,644 | 12,917 | $783K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 13,298 | 10,249 | $387K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.3% | 1,129 | 954 | $71K |
| 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 | 1.4% | 214 | 214 | $18K |
| 94760 | 1.2% | 2,765 | 2,545 | $16K | |
| 86328 | 1.1% | 426 | 410 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 548 | 428 | $13K |
| 99000 | <1% | 4,054 | 3,636 | $11K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 434 | 344 | $9K |
| 90686 | <1% | 124 | 120 | $3K | |
| 81002 | <1% | 1,366 | 1,299 | $2K | |
| 88150 | <1% | 194 | 190 | $2K |
7 more codes
| 93000 | <1% | 38 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 145 | $361.11 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 28 | $168.48 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,293 | $80.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $66.60 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 16 | $56.47 |
| 81003 | <1% | 12 | $16.56 |
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.