Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

De Guzman, Rosalie

De Guzman, Rosalie was paid $370K by Medicaid between Jan 2018 and Nov 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.

33Billing provider infoDE GUZMAN, ROSALIE
CORONA, CA 92882
33aNPI1386675452assigned 07/06/2006
33bProvider typePediatrics Physician
28Total paid$370K
24GClaims66,759
24DCodes billed69
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#271 of 1,490
Median peer was paid$15K
This provider vs. median25×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201816,096$58K
20195,357$65K
20204,379$32K
20215,937$31K
20227,393$46K
202313,528$72K
2024incomplete14,069$64K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 14,977 13,838 $94K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 19% 1,673 1,638 $69K
99381 16% 607 581 $59K
92551 14% 5,761 5,724 $52K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.9% 2,549 2,524 $14K
G9920 Screening performed and negative 3.9% 5,471 5,458 $14K
90670 3.0% 1,680 1,667 $11K
90700 2.1% 1,829 1,815 $8K
90648 2.1% 1,747 1,729 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.7% 2,077 2,063 $6K
90713 1.3% 1,205 1,195 $5K
90686 1.1% 2,510 2,493 $4K
57 more codes
90681 <1% 496 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 1,629 $3K
90677 <1% 335 $3K
90651 <1% 624 $3K
90744 <1% 909 $3K
99203 Doctor's office visit, new patient (routine) <1% 18 $2K
90633 <1% 1,022 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 92 $1K
90716 <1% 808 $872.37
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 591 $784.65
87430 <1% 92 $745.20
90707 <1% 811 $647.37
90680 <1% 73 $630.00
90685 <1% 44 $394.73
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 185 $259.80
90698 <1% 26 $234.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 80 $202.08
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 682 $169.29
90688 <1% 15 $135.00
90619 <1% 446 $80.64
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,115 $72.57
90620 <1% 368 $62.91
90715 <1% 59 $62.82
96156 <1% 2,430 $39.90
90696 <1% 130 $35.91
85018 <1% 972 $28.78
81000 <1% 845 $27.84
90734 <1% 33 $27.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 140 $24.75
99173 <1% 1,294 $8.66
86580 <1% 63 $7.32
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,284 $3.98
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 39 $1.56
84443 Thyroid stimulating hormone (TSH) 0% 697 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 797 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 53 $0.00
36415 Collection of venous blood by venipuncture 0% 923 $0.00
80053 Comprehensive metabolic panel 0% 688 $0.00
3351F 0% 79 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 0% 91 $0.00
3352F 0% 59 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 37 $0.00
87086 Culture, bacterial; quantitative colony count, urine 0% 112 $0.00
1220F 0% 150 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 0% 28 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 515 $0.00
90672 0% 170 $0.00
83655 0% 68 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 0% 29 $0.00
81003 0% 619 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 0% 225 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 141 $0.00
84439 0% 683 $0.00
90621 0% 35 $0.00
80061 Lipid panel 0% 694 $0.00
96160 0% 17 $0.00
83525 0% 13 $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.