Physician
Zegarra, J Peter
Zegarra, J Peter was paid $34K by Medicaid between Jan 2018 and May 2022, across 7 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 39% of everything it billed.
33Billing provider infoZEGARRA, J PETER
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
33aNPI1245217371assigned 12/29/2005
33bProvider typeColon & Rectal Surgery Physician
28Total paid$34K
24GClaims5,246
24DCodes billed7
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Colon & Rectal Surgery Physician providers in California
Rank by total paid#8 of 25
Median peer was paid$6K
This provider vs. median6.1×
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 | 552 | $12K | |
| 2019 | 1,910 | $9K | |
| 2020 | 1,839 | $12K | |
| 2021 | 603 | $917.60 | |
| 2022 | 342 | $419.34 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 1,200 | 1,179 | $14K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 32% | 544 | 541 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,002 | 908 | $5K |
| 46600 | 7.4% | 1,980 | 1,937 | $3K | |
| 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 | 2.6% | 82 | 81 | $892.01 |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | 2.6% | 38 | 38 | $880.48 |
| 99243 | 1.8% | 400 | 400 | $627.90 |
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.