Physician
Jay Kenneth P Buenaflor MD a Medical Corporation
Jay Kenneth P Buenaflor MD a Medical Corporation was paid $1.21M by Medicaid between Jan 2018 and Oct 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoJAY KENNETH P BUENAFLOR MD A MEDICAL CORPORATION
BRAWLEY, CA 92227
BRAWLEY, CA 92227
33aNPI1205039815assigned 06/09/2007
33bProvider typePediatrics Physician
28Total paid$1.21M
24GClaims46,224
24DCodes billed41
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#111 of 1,490
Median peer was paid$15K
This provider vs. median81×
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 | 8,362 | $156K | |
| 2019 | 8,225 | $156K | |
| 2020 | 4,495 | $70K | |
| 2021 | 6,176 | $222K | |
| 2022 | 6,522 | $197K | |
| 2023 | 7,825 | $206K | |
| 2024incomplete | 4,619 | $206K |
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 | 29% | 8,496 | 7,551 | $357K |
| 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 | 22% | 4,466 | 4,217 | $268K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 2,137 | 2,066 | $123K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 1,529 | 1,529 | $107K |
| 97802 | 6.5% | 2,574 | 2,564 | $78K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 1,341 | 1,278 | $64K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 652 | 652 | $57K |
| 92551 | 2.9% | 3,182 | 3,178 | $35K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 700 | 685 | $11K |
| 90670 | <1% | 1,138 | 1,085 | $11K | |
| 90686 | <1% | 1,147 | 1,142 | $11K | |
| 85018 | <1% | 4,966 | 4,905 | $10K |
29 more codes
| 99173 | <1% | 3,162 | $10K | |
| 90707 | <1% | 612 | $9K | |
| 86580 | <1% | 2,226 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 166 | $7K |
| 81002 | <1% | 3,190 | $7K | |
| 90698 | <1% | 718 | $6K | |
| 90716 | <1% | 647 | $6K | |
| 90633 | <1% | 616 | $6K | |
| 90680 | <1% | 506 | $5K | |
| 83655 | <1% | 383 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 246 | $3K |
| 99381 | <1% | 28 | $2K | |
| 90734 | <1% | 218 | $2K | |
| 90651 | <1% | 158 | $2K | |
| 90658 | <1% | 152 | $1K | |
| 90744 | <1% | 126 | $1K | |
| 90715 | <1% | 108 | $972.00 | |
| 90649 | <1% | 78 | $702.00 | |
| 90677 | <1% | 66 | $585.00 | |
| 90696 | <1% | 60 | $540.00 | |
| 90700 | <1% | 41 | $379.32 | |
| 90656 | <1% | 28 | $318.90 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 41 | $313.93 |
| 90461 | <1% | 15 | $128.60 | |
| 90655 | <1% | 14 | $126.00 | |
| 90648 | <1% | 13 | $117.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 28 | $45.00 |
| 96160 | <1% | 100 | $18.41 | |
| 99000 | <1% | 150 | $10.77 |
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 officialBUENFLOR, JAY KENNETH (MD)