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

Caceres, Alvaro

Caceres, Alvaro was paid $48K by Medicaid between Sep 2018 and Jun 2019, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.

33Billing provider infoCACERES, ALVARO
DELANO, CA 93215
33aNPI1295895027assigned 12/11/2006
28Total paid$48K
24GClaims2,243
24DCodes billed12
24AFirst – last monthSep 2018 – Jun 2019
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#858 of 2,511
Median peer was paid$13K
This provider vs. median3.8×

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$5.0K$10K$15K2018201920202021202220232024
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
2018578$14K
20191,665$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 72% 1,380 1,116 $35K
3074F 4.6% 130 127 $2K
3078F 4.4% 130 127 $2K
99173 4.1% 108 108 $2K
85018 3.9% 115 115 $2K
81002 3.4% 101 101 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2.2% 55 55 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1.6% 50 50 $767.62
92552 1.4% 108 108 $679.01
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.1% 29 29 $508.41
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 20 20 $399.11
90686 <1% 17 17 $135.00

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.