Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Cathedral City › NPI 1205988409
Physician

Vivien Pacold, M.D., INC.

Vivien Pacold, M.D., INC. was paid $7K by Medicaid between Jan 2019 and Jan 2024, across 45 billing codes. Its largest line is 92553, — 64% of everything it billed.

33Billing provider infoVIVIEN PACOLD, M.D., INC.
CATHEDRAL CITY, CA 92234
33aNPI1205988409assigned 01/17/2007
28Total paid$7K
24GClaims17,632
24DCodes billed45
24AFirst – last monthJan 2019 – Jan 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#1,428 of 2,511
Median peer was paid$13K
This provider vs. median0.5×

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

$0$250$500$7502018201920202021202220232024
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
YearClaimsPaid
20196,497$246.18
20201,634$211.63
20212,533$2K
20223,699$3K
20233,181$2K
2024incomplete88$0.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92553 64% 196 196 $4K
92560 24% 319 316 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7.2% 1,519 1,505 $479.08
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 1.3% 913 903 $89.10
94760 1.1% 2,498 2,469 $75.92
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 12 12 $56.63
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 40 40 $40.72
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 <1% 185 184 $37.12
82274 <1% 77 77 $14.15
82947 <1% 362 362 $9.65
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 810 810 $0.54
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 141 141 $0.01
33 more codes
1159F 0% 959 $0.00
1158F 0% 452 $0.00
1160F 0% 958 $0.00
3725F 0% 610 $0.00
3078F 0% 1,049 $0.00
3288F 0% 12 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 229 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 50 $0.00
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit 0% 202 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 29 $0.00
0521F 0% 178 $0.00
3077F 0% 71 $0.00
99173 0% 86 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 0% 26 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 15 $0.00
1157F 0% 452 $0.00
1036F 0% 770 $0.00
1126F 0% 677 $0.00
1031F 0% 308 $0.00
3044F 0% 505 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 469 $0.00
3074F 0% 950 $0.00
3048F 0% 133 $0.00
3008F 0% 817 $0.00
3351F 0% 54 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 76 $0.00
3079F 0% 100 $0.00
3014F 0% 37 $0.00
99496 0% 19 $0.00
1125F 0% 183 $0.00
3061F 0% 14 $0.00
3049F 0% 27 $0.00
3075F 0% 43 $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 officialPACOLD, VIVIEN (PRESIDENT)