Physician
Pascual, Filomena
Pascual, Filomena was paid $156K by Medicaid between Jan 2018 and Sep 2024, across 46 billing codes. Its largest line is 92587, — 82% of everything it billed.
33Billing provider infoPASCUAL, FILOMENA
RANCHO CUCAMONGA, CA 91730
RANCHO CUCAMONGA, CA 91730
33aNPI1275636201assigned 09/06/2006
33bProvider typePediatrics Physician
28Total paid$156K
24GClaims41,357
24DCodes billed46
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#407 of 1,490
Median peer was paid$15K
This provider vs. median10×
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 | 4,317 | $1K | |
| 2019 | 6,606 | $10K | |
| 2020 | 6,026 | $10K | |
| 2021 | 6,486 | $30K | |
| 2022 | 5,894 | $37K | |
| 2023 | 6,327 | $35K | |
| 2024incomplete | 5,701 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92587 | 82% | 4,740 | 4,724 | $127K | |
| 99188 | 6.7% | 1,993 | 1,982 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 7,744 | 7,348 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 634 | 612 | $5K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.4% | 2,260 | 2,219 | $2K |
| 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% | 2,127 | 2,044 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,508 | 4,491 | $740.64 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,198 | 1,195 | $618.80 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 1,864 | 1,861 | $590.87 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,954 | 1,936 | $549.51 |
| 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% | 69 | 69 | $500.49 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,154 | 1,132 | $297.77 |
34 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 769 | $296.70 |
| 90686 | <1% | 374 | $266.49 | |
| 90698 | <1% | 119 | $162.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 52 | $148.20 |
| G9920 | Screening performed and negative | <1% | 4,335 | $86.13 |
| 90670 | <1% | 156 | $63.00 | |
| 90744 | <1% | 29 | $63.00 | |
| 90680 | <1% | 45 | $54.00 | |
| 99406 | <1% | 685 | $52.58 | |
| 99177 | <1% | 887 | $41.58 | |
| 90633 | <1% | 64 | $36.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 165 | $35.20 |
| 83655 | <1% | 205 | $23.14 | |
| 90651 | <1% | 19 | $18.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 333 | $14.26 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 712 | $0.00 |
| 90461 | 0% | 467 | $0.00 | |
| 99408 | 0% | 212 | $0.00 | |
| 96160 | 0% | 414 | $0.00 | |
| 81002 | 0% | 14 | $0.00 | |
| 80061 | Lipid panel | 0% | 13 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 16 | $0.00 |
| 0071A | 0% | 14 | $0.00 | |
| 85018 | 0% | 56 | $0.00 | |
| 99441 | 0% | 148 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 66 | $0.00 |
| 91307 | 0% | 33 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 116 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 132 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 265 | $0.00 |
| 97802 | 0% | 129 | $0.00 | |
| 99000 | 0% | 30 | $0.00 | |
| 99384 | 0% | 12 | $0.00 | |
| 36416 | 0% | 26 | $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.