Clinic
Pueblo Medical Associates INC.
Pueblo Medical Associates INC. was paid $104K by Medicaid between Jan 2018 and Jun 2020, across 29 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 36% of everything it billed.
33Billing provider infoPUEBLO MEDICAL ASSOCIATES INC.
AZUSA, CA 91702
AZUSA, CA 91702
33aNPI1407033277assigned 01/23/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$104K
24GClaims11,297
24DCodes billed29
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#148 of 422
Median peer was paid$25K
This provider vs. median4.2×
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 | 4,307 | $59K | |
| 2019 | 5,364 | $37K | |
| 2020 | 1,626 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 36% | 1,638 | 1,485 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 2,569 | 2,373 | $34K |
| 99401 | 7.9% | 442 | 432 | $8K | |
| 99201 | 7.2% | 73 | 68 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 211 | 210 | $3K |
| 92552 | 2.9% | 885 | 885 | $3K | |
| 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 | 2.5% | 213 | 205 | $3K |
| G9920 | Screening performed and negative | 1.7% | 247 | 243 | $2K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.2% | 101 | 101 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 136 | 136 | $1K |
| 81025 | <1% | 355 | 354 | $891.98 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 250 | 250 | $599.71 |
17 more codes
| 85018 | <1% | 971 | $445.43 | |
| 81002 | <1% | 892 | $384.35 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 39 | $346.83 |
| 90688 | <1% | 139 | $256.50 | |
| 90686 | <1% | 125 | $248.94 | |
| 99000 | <1% | 592 | $129.82 | |
| 90649 | <1% | 51 | $117.00 | |
| 99385 | <1% | 17 | $91.77 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 35 | $87.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 273 | $82.13 |
| 90734 | <1% | 37 | $45.00 | |
| 99173 | <1% | 652 | $0.17 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 172 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 55 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 81 | $0.00 |
| 88150 | 0% | 31 | $0.00 | |
| 86580 | 0% | 15 | $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 officialFLORES, HILDA (OFFICE MANAGER)