Physician
Carruth, John
Carruth, John was paid $253K by Medicaid between Jan 2018 and Nov 2022, across 34 billing codes. Its largest line is 96156, — 46% of everything it billed.
33Billing provider infoCARRUTH, JOHN
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1346337821assigned 10/06/2006
33bProvider typePediatrics Physician
28Total paid$253K
24GClaims15,958
24DCodes billed34
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#321 of 1,490
Median peer was paid$15K
This provider vs. median17×
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 | 3,426 | $34K | |
| 2019 | 3,089 | $37K | |
| 2020 | 3,068 | $63K | |
| 2021 | 3,177 | $64K | |
| 2022 | 3,198 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 46% | 1,165 | 1,139 | $117K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 3,260 | 2,676 | $43K |
| 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 | 13% | 1,497 | 1,224 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 274 | 262 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 205 | 199 | $11K |
| 92551 | 4.4% | 888 | 867 | $11K | |
| 96150 | 3.8% | 443 | 433 | $10K | |
| 90686 | 1.5% | 411 | 405 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 53 | 39 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 14 | 12 | $798.30 |
| 81002 | <1% | 1,097 | 1,057 | $557.95 | |
| 99000 | <1% | 203 | 198 | $522.76 |
22 more codes
| 96127 | <1% | 376 | $396.65 | |
| 83655 | <1% | 17 | $359.20 | |
| 90658 | <1% | 19 | $171.00 | |
| 85018 | <1% | 94 | $160.81 | |
| 87430 | <1% | 12 | $158.65 | |
| 81000 | <1% | 55 | $124.74 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 37 | $100.00 |
| 94760 | <1% | 48 | $72.10 | |
| 99406 | <1% | 14 | $11.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 64 | $5.00 |
| 3008F | 0% | 979 | $0.00 | |
| S9452 | Nutrition classes, non-physician provider, per session | 0% | 305 | $0.00 |
| 2000F | 0% | 353 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 308 | $0.00 |
| 1031F | 0% | 12 | $0.00 | |
| 1030F | 0% | 65 | $0.00 | |
| 1033F | 0% | 756 | $0.00 | |
| 4120F | 0% | 518 | $0.00 | |
| 99173 | 0% | 656 | $0.00 | |
| 4124F | 0% | 1,702 | $0.00 | |
| 3725F | 0% | 46 | $0.00 | |
| 3511F | 0% | 12 | $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.