Physician
Gerardo Canchola MD, INC.
Gerardo Canchola MD, INC. was paid $259K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoGERARDO CANCHOLA MD, INC.
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1487191516assigned 01/26/2017
33bProvider typeGeneral Practice Physician
28Total paid$259K
24GClaims23,925
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#75 of 474
Median peer was paid$10K
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
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 | 1,437 | $30K | |
| 2019 | 2,541 | $41K | |
| 2020 | 2,649 | $17K | |
| 2021 | 5,421 | $22K | |
| 2022 | 4,590 | $29K | |
| 2023 | 2,634 | $26K | |
| 2024incomplete | 4,653 | $94K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 2,718 | 2,469 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,658 | 2,533 | $94K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 8.4% | 220 | 217 | $22K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 148 | 148 | $12K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 3.0% | 810 | 799 | $8K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.3% | 1,083 | 1,020 | $6K |
| 99386 | 1.8% | 53 | 53 | $5K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 1.5% | 157 | 153 | $4K |
| 99397 | <1% | 13 | 13 | $1K | |
| 96156 | <1% | 233 | 220 | $1K | |
| 97802 | <1% | 907 | 855 | $1K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 96 | 96 | $1K |
26 more codes
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $972.40 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $716.85 |
| 96127 | <1% | 313 | $150.98 | |
| 97803 | <1% | 32 | $26.11 | |
| 3079F | <1% | 2,118 | $0.04 | |
| 3008F | <1% | 3,761 | $0.03 | |
| 1220F | <1% | 823 | $0.02 | |
| 3077F | <1% | 252 | $0.01 | |
| 4050F | <1% | 492 | $0.01 | |
| 3074F | <1% | 2,550 | $0.01 | |
| 3075F | <1% | 338 | $0.01 | |
| 1160F | 0% | 188 | $0.00 | |
| 3078F | 0% | 983 | $0.00 | |
| 1158F | 0% | 133 | $0.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 301 | $0.00 |
| 0521F | 0% | 163 | $0.00 | |
| 1159F | 0% | 241 | $0.00 | |
| 3050F | 0% | 12 | $0.00 | |
| 3044F | 0% | 243 | $0.00 | |
| 1125F | 0% | 211 | $0.00 | |
| 3049F | 0% | 81 | $0.00 | |
| 1170F | 0% | 152 | $0.00 | |
| 3080F | 0% | 198 | $0.00 | |
| 3048F | 0% | 84 | $0.00 | |
| 1036F | 0% | 119 | $0.00 | |
| 3017F | 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.
From NPPES
Who's on the registration
Authorized officialCANCHOLA, GERARDO (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Angel Fullerton Medical Group | Fullerton, CA | $64K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.