Physician
De Leon, Maria Lourdes
De Leon, Maria Lourdes was paid $21K by Medicaid between Mar 2019 and Feb 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoDE LEON, MARIA LOURDES
SOUTH GATE, CA 90280
SOUTH GATE, CA 90280
33aNPI1285775437assigned 02/09/2007
33bProvider typePediatrics Physician
28Total paid$21K
24GClaims15,150
24DCodes billed37
24AFirst – last monthMar 2019 – Feb 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#701 of 1,490
Median peer was paid$15K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 6,405 | $16K | |
| 2020 | 2,594 | $149.35 | |
| 2021 | 2,162 | $5K | |
| 2022 | 1,253 | $0.00 | |
| 2023 | 2,615 | $10.00 | |
| 2024incomplete | 121 | $0.00 |
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 | 41% | 3,175 | 2,786 | $9K |
| 3008F | 13% | 1,943 | 1,756 | $3K | |
| 3074F | 9.4% | 1,274 | 1,164 | $2K | |
| 3078F | 9.4% | 1,340 | 1,220 | $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 | 7.9% | 795 | 656 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 5.6% | 409 | 395 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 5.4% | 1,240 | 1,002 | $1K |
| 99000 | 2.7% | 1,361 | 1,298 | $568.43 | |
| 81002 | 1.2% | 907 | 876 | $250.60 | |
| 92551 | <1% | 204 | 203 | $194.90 | |
| 99441 | <1% | 365 | 315 | $190.32 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | 26 | $101.87 |
25 more codes
| 92552 | <1% | 58 | $99.92 | |
| 82948 | <1% | 208 | $91.12 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 28 | $90.00 |
| 3075F | <1% | 40 | $30.00 | |
| 96127 | <1% | 17 | $23.80 | |
| 99173 | <1% | 401 | $6.84 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 27 | $4.42 |
| 90686 | <1% | 24 | $0.01 | |
| 3725F | 0% | 160 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 203 | $0.00 |
| 1159F | 0% | 45 | $0.00 | |
| 1160F | 0% | 46 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 12 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 55 | $0.00 |
| 4004F | 0% | 96 | $0.00 | |
| 1158F | 0% | 107 | $0.00 | |
| 96160 | 0% | 156 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 31 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 12 | $0.00 |
| 99442 | 0% | 17 | $0.00 | |
| 1157F | 0% | 108 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 126 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 108 | $0.00 |
| 3048F | 0% | 13 | $0.00 | |
| 93000 | 0% | 13 | $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.