Physician
Baca, Arthur
Baca, Arthur was paid $31K by Medicaid between Mar 2023 and Oct 2024, across 3 billing codes. Its largest line is 87635, Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe — 77% of everything it billed.
33Billing provider infoBACA, ARTHUR
ALAMEDA, CA 94501
ALAMEDA, CA 94501
33aNPI1326248816assigned 07/23/2007
33bProvider typeClinical Pathology/Laboratory Medicine Physician
28Total paid$31K
24GClaims1,058
24DCodes billed3
24AFirst – last monthMar 2023 – Oct 2024
Compared with peers
Next to other Clinical Pathology/Laboratory Medicine Physician providers in California
Rank by total paid#13 of 21
Median peer was paid$69K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2023 | 784 | $25K | |
| 2024incomplete | 274 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 77% | 866 | 349 | $24K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 18% | 109 | 45 | $5K |
| U0005 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | 4.8% | 83 | 45 | $1K |
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.