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

Canale, Juan

Canale, Juan was paid $4.15M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 45378, Colonoscopy, flexible; diagnostic, including collection of specimen(s) — 33% of everything it billed.

33Billing provider infoCANALE, JUAN
TURLOCK, CA 95380
33aNPI1386679611assigned 07/12/2006
28Total paid$4.15M
24GClaims34,327
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Gastroenterology Physician providers in California

Rank by total paid#13 of 363
Median peer was paid$55K
This provider vs. median76×

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$50K$100K2018201920202021202220232024
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
20185,370$743K
20195,155$698K
20203,956$441K
20214,507$490K
20225,336$609K
20235,718$641K
2024incomplete4,285$528K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 33% 5,101 5,070 $1.39M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 22% 2,642 2,626 $919K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 18% 5,226 5,204 $742K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14% 11,383 11,363 $585K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.3% 5,834 5,771 $178K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 2,115 2,113 $96K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 1,132 1,132 $88K
43235 2.1% 654 646 $85K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1.7% 240 239 $70K

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.