Physician
Calderon, Cecilia
Calderon, Cecilia was paid $108K by Medicaid between Jan 2018 and Nov 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 79% of everything it billed.
33Billing provider infoCALDERON, CECILIA
BRONX, NY 10456
BRONX, NY 10456
33aNPI1427118140assigned 12/11/2006
33bProvider typeInternal Medicine Physician
28Total paid$108K
24GClaims13,754
24DCodes billed64
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in New York
Rank by total paid#1,224 of 6,049
Median peer was paid$11K
This provider vs. median9.5×
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 | 3,579 | $10K | |
| 2019 | 606 | $5K | |
| 2020 | 1,157 | $6K | |
| 2021 | 5,236 | $24K | |
| 2022 | 1,406 | $23K | |
| 2023 | 883 | $24K | |
| 2024incomplete | 887 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 79% | 2,497 | 2,221 | $85K |
| 99441 | 5.1% | 354 | 327 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.0% | 208 | 204 | $3K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2.6% | 152 | 152 | $3K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.7% | 102 | 102 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 31 | 31 | $1K |
| 94010 | 1.0% | 38 | 38 | $1K | |
| 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% | 397 | 367 | $948.16 |
| 99443 | <1% | 25 | 24 | $935.25 | |
| 93000 | <1% | 76 | 76 | $732.00 | |
| 99442 | <1% | 51 | 48 | $720.02 | |
| 0013A | <1% | 12 | 12 | $484.89 |
52 more codes
| H0001 | Alcohol and/or drug assessment | <1% | 603 | $430.00 |
| 99406 | <1% | 18 | $406.41 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 151 | $389.80 |
| 3078F | <1% | 233 | $265.00 | |
| 3074F | <1% | 217 | $245.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 181 | $232.70 |
| 99490 | Ccm add 20min | <1% | 67 | $169.60 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $100.00 |
| 3079F | <1% | 34 | $65.00 | |
| 3075F | <1% | 27 | $57.50 | |
| 99051 | <1% | 36 | $56.00 | |
| 1159F | <1% | 295 | $45.00 | |
| 1160F | <1% | 327 | $40.00 | |
| 1126F | <1% | 172 | $30.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 55 | $25.12 |
| 36415 | Collection of venous blood by venipuncture | <1% | 381 | $22.41 |
| 80053 | Comprehensive metabolic panel | <1% | 105 | $16.73 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 105 | $15.00 |
| 82962 | <1% | 77 | $13.76 | |
| 1125F | <1% | 47 | $10.00 | |
| 3044F | 0% | 22 | $0.00 | |
| 99429 | 0% | 896 | $0.00 | |
| 2001F | 0% | 306 | $0.00 | |
| 1000F | 0% | 870 | $0.00 | |
| 3014F | 0% | 55 | $0.00 | |
| 97802 | 0% | 133 | $0.00 | |
| 3011F | 0% | 12 | $0.00 | |
| 2010F | 0% | 298 | $0.00 | |
| 3008F | 0% | 282 | $0.00 | |
| 1036F | 0% | 86 | $0.00 | |
| 3017F | 0% | 62 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 329 | $0.00 |
| 3048F | 0% | 12 | $0.00 | |
| 4010F | 0% | 42 | $0.00 | |
| G8816 | Statin medication prescribed at discharge | 0% | 14 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 28 | $0.00 |
| G8473 | Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy prescribed | 0% | 29 | $0.00 |
| 99080 | 0% | 1,439 | $0.00 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 127 | $0.00 |
| 3725F | 0% | 244 | $0.00 | |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 0% | 305 | $0.00 |
| 82948 | 0% | 24 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 563 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 12 | $0.00 |
| 3016F | 0% | 215 | $0.00 | |
| 4013F | 0% | 39 | $0.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 88 | $0.00 |
| 97803 | 0% | 21 | $0.00 | |
| 91300 | 0% | 19 | $0.00 | |
| 3015F | 0% | 12 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 54 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 17 | $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.