Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GERARDO CANCHOLA MD, INC.

NPI: 1487191516 · SANTA ANA, CA 92704 · General Practice Physician · NPI assigned 01/26/2017

$259K
Total Medicaid Paid
23,925
Total Claims
21,367
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCANCHOLA, GERARDO (OWNER)
NPI Enumeration Date01/26/2017

Related Entities

Other providers sharing the same authorized official: CANCHOLA, GERARDO

ProviderCityStateTotal Paid
ANGEL FULLERTON MEDICAL GROUP FULLERTON CA $64K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 4,653 $94K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,718 2,469 $102K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,658 2,533 $94K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 220 217 $22K
99215 Prolong outpt/office vis 148 148 $12K
G8510 Screening for depression is documented as negative, a follow-up plan is not required 810 799 $8K
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 1,083 1,020 $6K
99386 53 53 $5K
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 157 153 $4K
99397 13 13 $1K
96156 233 220 $1K
97802 907 855 $1K
G0442 Annual alcohol misuse screening, 5 to 15 minutes 96 96 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $972.40
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 15 15 $716.85
96127 313 290 $150.98
97803 32 32 $26.11
3079F 2,118 1,972 $0.04
3008F 3,761 3,321 $0.03
1220F 823 793 $0.02
3077F 252 229 $0.01
4050F 492 459 $0.01
3074F 2,550 2,338 $0.01
3075F 338 317 $0.01
1160F 188 185 $0.00
3078F 983 920 $0.00
1158F 133 133 $0.00
G0444 Annual depression screening, 5 to 15 minutes 301 298 $0.00
0521F 163 158 $0.00
1159F 241 236 $0.00
3050F 12 12 $0.00
3044F 243 237 $0.00
1125F 211 204 $0.00
3049F 81 81 $0.00
1170F 152 151 $0.00
3080F 198 182 $0.00
3048F 84 84 $0.00
1036F 119 118 $0.00
3017F 13 13 $0.00