Physician
Reynaldo L. Makabali MD, INC.
Reynaldo L. Makabali MD, INC. was paid $341K by Medicaid between Jan 2018 and Nov 2024, across 72 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 21% of everything it billed.
33Billing provider infoREYNALDO L. MAKABALI MD, INC.
LOS ANGELES, CA 90057
LOS ANGELES, CA 90057
33aNPI1306079181assigned 08/27/2009
33bProvider typePediatrics Physician
28Total paid$341K
24GClaims122,807
24DCodes billed72
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#290 of 1,490
Median peer was paid$15K
This provider vs. median23×
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 | 14,089 | $56K | |
| 2019 | 17,281 | $65K | |
| 2020 | 18,479 | $60K | |
| 2021 | 17,917 | $67K | |
| 2022 | 17,447 | $39K | |
| 2023 | 20,695 | $39K | |
| 2024incomplete | 16,899 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 21% | 2,176 | 2,156 | $70K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 2,135 | 2,119 | $53K |
| 92552 | 14% | 7,071 | 7,048 | $49K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 10% | 1,556 | 1,541 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 1,230 | 1,220 | $27K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.8% | 2,839 | 1,967 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 9,866 | 9,093 | $21K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 7,764 | 7,255 | $10K |
| 85018 | 2.8% | 8,694 | 8,591 | $9K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.5% | 177 | 170 | $8K |
| 97803 | 1.6% | 15,687 | 14,016 | $6K | |
| 0001A | 1.5% | 136 | 134 | $5K |
60 more codes
| 0002A | 1.5% | 133 | $5K | |
| 99173 | 1.1% | 5,391 | $4K | |
| 81002 | 1.0% | 5,681 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 1,429 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 280 | $1K |
| 90656 | <1% | 697 | $1K | |
| 0004A | <1% | 20 | $800.00 | |
| 90670 | <1% | 140 | $787.52 | |
| 0011A | <1% | 16 | $640.00 | |
| 90734 | <1% | 338 | $549.00 | |
| 86580 | <1% | 125 | $492.96 | |
| 90680 | <1% | 40 | $441.26 | |
| 99406 | <1% | 1,460 | $391.48 | |
| 3008F | <1% | 14,885 | $272.80 | |
| 90651 | <1% | 309 | $261.00 | |
| 90698 | <1% | 42 | $181.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 286 | $112.20 |
| 90744 | <1% | 24 | $104.00 | |
| 3725F | <1% | 1,783 | $82.00 | |
| 96127 | <1% | 702 | $81.17 | |
| 1000F | <1% | 241 | $80.00 | |
| 3016F | <1% | 631 | $80.00 | |
| 90716 | <1% | 27 | $54.00 | |
| 97802 | <1% | 28 | $49.75 | |
| 90686 | <1% | 255 | $45.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 152 | $40.50 |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,098 | $40.00 |
| 90633 | <1% | 14 | $36.00 | |
| 99497 | <1% | 30 | $25.00 | |
| 3074F | <1% | 5,650 | $13.20 | |
| 3078F | <1% | 5,054 | $8.30 | |
| 82962 | <1% | 699 | $7.74 | |
| 3079F | <1% | 2,134 | $6.50 | |
| 4004F | <1% | 322 | $6.00 | |
| 1157F | <1% | 1,279 | $3.00 | |
| 3352F | <1% | 2,099 | $3.00 | |
| 3075F | <1% | 1,168 | $2.60 | |
| 3353F | <1% | 117 | $1.00 | |
| 1160F | <1% | 377 | $1.00 | |
| 1159F | <1% | 307 | $1.00 | |
| 90715 | <1% | 32 | $1.00 | |
| 1036F | <1% | 1,501 | $0.60 | |
| 1033F | <1% | 341 | $0.60 | |
| 3080F | <1% | 505 | $0.30 | |
| 3077F | <1% | 895 | $0.30 | |
| 1158F | <1% | 157 | $0.30 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 494 | $0.07 |
| 1031F | 0% | 397 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 423 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 57 | $0.00 |
| 99000 | 0% | 34 | $0.00 | |
| 2000F | 0% | 13 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 0% | 368 | $0.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 290 | $0.00 |
| 99408 | 0% | 760 | $0.00 | |
| 4120F | 0% | 223 | $0.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 14 | $0.00 |
| 99409 | 0% | 464 | $0.00 | |
| 4158F | 0% | 32 | $0.00 | |
| 90461 | 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.
From NPPES
Who's on the registration
Authorized officialMAKABALI, REYNALDO (PRESIDENT)