Sanguedolce, John

Sanguedolce, John was paid $120K by Medicaid between Apr 2021 and Aug 2023, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.

33Billing provider infoSANGUEDOLCE, JOHN
LAGUNA BEACH, CA 92651

33aNPI1336672393assigned 04/06/2017

33bProvider typeFamily Medicine Physician

28Total paid$120K

24GClaims3,453

24DCodes billed6

24AFirst – last monthApr 2021 – Aug 2023

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#557 of 2,511

Median peer was paid$13K

This provider vs. median9.4×

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
2021	430	$14K
2022	2,062	$72K
2023	961	$34K

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	68%	1,856	1,544	$82K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	1,224	1,077	$34K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	2.9%	56	53	$4K
99000		<1%	213	200	$673.09
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	42	33	$236.46
36415	Collection of venous blood by venipuncture	0%	62	58	$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.