Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Dela Cruz, Rhodora

Dela Cruz, Rhodora was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.

33Billing provider infoDELA CRUZ, RHODORA
FREMONT, CA 94538
33aNPI1255445300assigned 08/18/2006
33bProvider typePediatrics Physician
28Total paid$1.05M
24GClaims29,200
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#123 of 1,490
Median peer was paid$15K
This provider vs. median70×

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$10K$20K$30K2018201920202021202220232024
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
20184,043$185K
20193,788$181K
20203,951$133K
20214,179$122K
20224,408$140K
20234,384$143K
2024incomplete4,447$148K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 36% 7,236 6,439 $378K
92081 13% 3,339 3,300 $134K
97802 12% 3,259 3,233 $122K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.5% 1,145 1,137 $78K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.6% 1,076 1,070 $59K
92552 5.3% 2,768 2,746 $56K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.5% 1,007 999 $48K
90651 3.9% 407 407 $41K
90686 3.4% 2,016 1,997 $35K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.4% 426 423 $25K
96127 <1% 1,258 1,242 $7K
G9920 Screening performed and negative <1% 260 256 $7K
31 more codes
90621 <1% 40 $7K
99213 Doctor's office visit, returning patient (routine) <1% 210 $7K
81002 <1% 2,470 $7K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 108 $6K
99188 <1% 170 $4K
99204 Doctor's office visit, new patient (more involved) <1% 37 $3K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 135 $3K
90734 <1% 248 $3K
90670 <1% 235 $2K
90633 <1% 217 $2K
99383 <1% 31 $2K
90715 <1% 189 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 103 $2K
90619 <1% 135 $1K
G0473 Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes <1% 123 $1K
99442 <1% 37 $1K
90620 <1% 96 $940.00
90685 <1% 26 $775.66
90698 <1% 64 $633.00
90671 <1% 63 $626.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 14 $592.34
90710 <1% 44 $438.00
G0444 Annual depression screening, 5 to 15 minutes <1% 25 $404.00
90744 <1% 40 $397.00
90680 <1% 36 $346.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 20 $221.20
90700 <1% 22 $219.00
90716 <1% 17 $170.00
90713 <1% 17 $169.00
90647 <1% 16 $159.00
90707 <1% 15 $150.00

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.