Cala Cala, Luisa

Cala Cala, Luisa was paid $271K by Medicaid between Jul 2018 and Aug 2021, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 64% of everything it billed.

33Billing provider infoCALA CALA, LUISA
HACKENSACK, NJ 07601

33aNPI1306079314assigned 08/25/2009

33bProvider typePediatrics Physician

28Total paid$271K

24GClaims1,947

24DCodes billed6

24AFirst – last monthJul 2018 – Aug 2021

Compared with peers

Next to other Pediatrics Physician providers in New Jersey

Rank by total paid#231 of 549

Median peer was paid$154K

This provider vs. median1.8×

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

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	486	$61K
2019	423	$64K
2020	611	$89K
2021	427	$57K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	64%	998	941	$174K
99358	Prolong nursin fac eval 15m	21%	464	421	$57K
99417	Prolong home eval add 15m	6.4%	198	191	$17K
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	4.9%	99	86	$13K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.1%	72	71	$6K
96127		<1%	116	104	$2K

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.