Physician
Pajaro Valley Health Care District
Pajaro Valley Health Care District was paid $380K by Medicaid between Mar 2024 and Nov 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPAJARO VALLEY HEALTH CARE DISTRICT
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1285346809assigned 12/14/2022
33bProvider typeInternal Medicine Physician
28Total paid$380K
24GClaims5,517
24DCodes billed22
24AFirst – last monthMar 2024 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#286 of 2,679
Median peer was paid$13K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2024incomplete | 5,517 | $380K |
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 | 39% | 2,124 | 1,989 | $149K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 19% | 455 | 455 | $71K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 373 | 373 | $39K |
| 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 | 9.0% | 405 | 380 | $34K |
| 90962 | 5.5% | 216 | 216 | $21K | |
| 90961 | 3.0% | 75 | 75 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.5% | 91 | 90 | $9K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.2% | 181 | 180 | $8K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.6% | 101 | 58 | $6K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 52 | 52 | $5K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.3% | 131 | 41 | $5K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.2% | 73 | 26 | $4K |
10 more codes
| 93224 | 1.1% | 62 | $4K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 60 | $3K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 15 | $2K |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $2K |
| 81002 | <1% | 940 | $1K | |
| 43235 | <1% | 12 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 15 | $997.30 |
| 11721 | <1% | 97 | $942.50 | |
| 93016 | <1% | 13 | $170.60 | |
| 93018 | <1% | 13 | $112.11 |
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 officialMENDOZA, LUPE (DIRECTOR)