Caballero, Cesar

Caballero, Cesar was paid $40K by Medicaid between Jan 2018 and Oct 2018, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoCABALLERO, CESAR
BEDFORD, VA 24523

33aNPI1316929540assigned 11/15/2005

33bProvider typeFamily Medicine Physician

28Total paid$40K

24GClaims965

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Family Medicine Physician providers in Virginia

Rank by total paid#277 of 772

Median peer was paid$13K

This provider vs. median3.1×

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	965	$40K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	35%	182	178	$14K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	20%	145	138	$8K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	18%	137	137	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	13%	99	95	$5K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	9.0%	277	263	$4K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	3.6%	111	109	$1K
87807		<1%	14	14	$182.83

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.