Clinic
A.M. Palanca-Capistrano,m.D. INC.
A.M. Palanca-Capistrano,m.D. INC. was paid $1.26M by Medicaid between Jan 2018 and Oct 2024, across 22 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 37% of everything it billed.
33Billing provider infoA.M. PALANCA-CAPISTRANO,M.D. INC.
CORONA, CA 92879
CORONA, CA 92879
33aNPI1194947200assigned 05/02/2007
33bProvider typeClinic/Center
28Total paid$1.26M
24GClaims28,971
24DCodes billed22
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#129 of 504
Median peer was paid$102K
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 | |
|---|---|---|---|
| 2018 | 3,501 | $153K | |
| 2019 | 4,205 | $173K | |
| 2020 | 3,232 | $127K | |
| 2021 | 3,498 | $142K | |
| 2022 | 3,840 | $171K | |
| 2023 | 5,737 | $269K | |
| 2024incomplete | 4,958 | $221K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 37% | 715 | 676 | $467K |
| 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 | 19% | 4,176 | 4,150 | $236K |
| 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 | 12% | 5,208 | 5,079 | $152K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 6,540 | 6,365 | $128K |
| 92136 | 6.0% | 2,043 | 1,044 | $75K | |
| 92083 | 3.4% | 1,767 | 1,751 | $43K | |
| 92133 | 3.0% | 1,543 | 1,529 | $38K | |
| 65855 | 2.9% | 233 | 219 | $36K | |
| 92025 | 1.6% | 1,045 | 1,034 | $21K | |
| 76514 | 1.5% | 2,539 | 2,474 | $19K | |
| 92020 | 1.0% | 998 | 972 | $13K | |
| 92015 | Determination of refractive state | <1% | 1,343 | 1,322 | $9K |
10 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 125 | $7K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 210 | $6K |
| 92134 | <1% | 188 | $4K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 39 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 23 | $481.81 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 22 | $322.56 |
| 92132 | <1% | 12 | $241.20 | |
| 99024 | 0% | 128 | $0.00 | |
| 1036F | 0% | 55 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 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 officialPALANCA-CAPISTRANO, ANGELITA (PRESIDENT)