Physician
Mario A. Ochoa M.D. INC
Mario A. Ochoa M.D. INC was paid $3.17M by Medicaid between Jan 2018 and Oct 2024, across 34 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoMARIO A. OCHOA M.D. INC
SELMA, CA 93662
SELMA, CA 93662
33aNPI1376674770assigned 03/08/2007
33bProvider typeFamily Medicine Physician
28Total paid$3.17M
24GClaims94,527
24DCodes billed34
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#91 of 2,511
Median peer was paid$13K
This provider vs. median247×
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 | 14,545 | $490K | |
| 2019 | 14,916 | $430K | |
| 2020 | 12,116 | $410K | |
| 2021 | 14,210 | $509K | |
| 2022 | 12,760 | $392K | |
| 2023 | 15,625 | $539K | |
| 2024incomplete | 10,355 | $402K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 42,414 | 33,668 | $2.99M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 4.0% | 3,864 | 3,166 | $127K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 35,594 | 28,760 | $46K |
| 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 | <1% | 2,503 | 2,359 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 453 | 452 | $713.74 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 348 | 347 | $408.18 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 37 | 37 | $332.35 |
| 92552 | <1% | 446 | 443 | $231.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 84 | 83 | $222.12 |
| 92551 | <1% | 931 | 930 | $198.36 | |
| 90686 | <1% | 581 | 580 | $183.90 | |
| 99173 | <1% | 1,452 | 1,447 | $109.62 |
22 more codes
| 85018 | <1% | 2,152 | $101.19 | |
| 90688 | <1% | 187 | $80.95 | |
| 90674 | <1% | 152 | $76.98 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 359 | $56.54 |
| 81003 | <1% | 1,851 | $49.64 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 139 | $35.76 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 104 | $33.76 |
| 81002 | <1% | 345 | $22.99 | |
| 88142 | <1% | 13 | $16.48 | |
| 86580 | <1% | 121 | $6.72 | |
| 81025 | <1% | 25 | $2.52 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 102 | $0.00 |
| 90696 | 0% | 13 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 85 | $0.00 |
| 90656 | 0% | 19 | $0.00 | |
| 90647 | 0% | 13 | $0.00 | |
| 36416 | 0% | 18 | $0.00 | |
| 90710 | 0% | 40 | $0.00 | |
| 99397 | 0% | 43 | $0.00 | |
| 90734 | 0% | 15 | $0.00 | |
| 90649 | 0% | 12 | $0.00 | |
| 90670 | 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.
From NPPES
Who's on the registration
Authorized officialOCHOA, MARIO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Clinica El Lago INC | Woodlake, CA | $1.27M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.