Physician
Clinica Medica Familiar-Phn, INC
Clinica Medica Familiar-Phn, INC was paid $233K by Medicaid between Jan 2018 and Nov 2024, across 73 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoCLINICA MEDICA FAMILIAR-PHN, INC
RIALTO, CA 92376
RIALTO, CA 92376
33aNPI1275656761assigned 04/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$233K
24GClaims65,494
24DCodes billed73
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#400 of 2,511
Median peer was paid$13K
This provider vs. median18×
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 | 1,085 | $93K | |
| 2019 | 274 | $22K | |
| 2020 | 711 | $16K | |
| 2021 | 6,300 | $18K | |
| 2022 | 11,093 | $13K | |
| 2023 | 23,397 | $55K | |
| 2024incomplete | 22,634 | $16K |
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 | 50% | 6,422 | 5,919 | $117K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 19% | 222 | 216 | $44K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.9% | 3,067 | 2,848 | $21K |
| 99383 | 4.1% | 91 | 81 | $10K | |
| 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 | 3.3% | 1,277 | 1,175 | $8K |
| 99384 | 3.1% | 74 | 74 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 308 | 308 | $5K |
| 92551 | 1.4% | 2,091 | 2,082 | $3K | |
| 97802 | 1.1% | 4,032 | 3,762 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 160 | 159 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,786 | 2,745 | $2K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 87 | 82 | $2K |
61 more codes
| 96156 | <1% | 818 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 77 | $1K |
| G9920 | Screening performed and negative | <1% | 2,127 | $1K |
| 90686 | <1% | 183 | $907.98 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 55 | $699.60 |
| 90633 | <1% | 81 | $603.00 | |
| 90734 | <1% | 128 | $603.00 | |
| 90649 | <1% | 117 | $540.00 | |
| 99385 | <1% | 27 | $287.06 | |
| 90713 | <1% | 55 | $279.00 | |
| 96127 | <1% | 47 | $223.29 | |
| 90715 | <1% | 31 | $207.00 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 12 | $133.08 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 152 | $129.90 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 393 | $112.20 |
| 86580 | <1% | 44 | $95.95 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 207 | $60.00 |
| 90620 | <1% | 13 | $54.00 | |
| 81025 | <1% | 25 | $50.52 | |
| 81002 | <1% | 15 | $25.63 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 299 | $22.30 |
| 99000 | <1% | 196 | $6.54 | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 26 | $6.24 |
| 81003 | <1% | 26 | $2.98 | |
| 99173 | <1% | 1,814 | $2.30 | |
| 3078F | 0% | 2,943 | $0.00 | |
| 1159F | 0% | 1,571 | $0.00 | |
| 96160 | 0% | 3,132 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 3,297 | $0.00 |
| 1160F | 0% | 1,258 | $0.00 | |
| 4004F | 0% | 2,712 | $0.00 | |
| 99408 | 0% | 1,909 | $0.00 | |
| 99442 | 0% | 1,126 | $0.00 | |
| 3077F | 0% | 391 | $0.00 | |
| 99448 | 0% | 66 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 104 | $0.00 |
| 99446 | 0% | 635 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 83655 | 0% | 14 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 12 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 75 | $0.00 |
| 3051F | 0% | 15 | $0.00 | |
| 3074F | 0% | 3,699 | $0.00 | |
| 99447 | 0% | 471 | $0.00 | |
| 1036F | 0% | 3,700 | $0.00 | |
| 99441 | 0% | 1,563 | $0.00 | |
| 96161 | 0% | 370 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 2,741 | $0.00 |
| 3075F | 0% | 682 | $0.00 | |
| 3008F | 0% | 2,907 | $0.00 | |
| 3079F | 0% | 1,605 | $0.00 | |
| 1126F | 0% | 180 | $0.00 | |
| 3080F | 0% | 114 | $0.00 | |
| 87110 | 0% | 14 | $0.00 | |
| 99443 | 0% | 142 | $0.00 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 260 | $0.00 |
| 88142 | 0% | 16 | $0.00 | |
| 3044F | 0% | 35 | $0.00 | |
| 1125F | 0% | 82 | $0.00 | |
| 85018 | 0% | 15 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 41 | $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 officialGUERRERO, ESTEBAN (C.O.O)
| Provider | Location | Paid |
|---|---|---|
| Clinica Medica Familiar-Phn INC | Fontana, CA | $375K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.