Clinic
M. Theresa Rusch, M.D., INC
M. Theresa Rusch, M.D., INC was paid $296K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoM. THERESA RUSCH, M.D., INC
PORTERVILLE, CA 93257
PORTERVILLE, CA 93257
33aNPI1487980538assigned 10/26/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$296K
24GClaims24,450
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#98 of 422
Median peer was paid$25K
This provider vs. median12×
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 | 2,712 | $12K | |
| 2019 | 4,589 | $59K | |
| 2020 | 3,686 | $55K | |
| 2021 | 4,209 | $54K | |
| 2022 | 3,741 | $46K | |
| 2023 | 3,026 | $38K | |
| 2024incomplete | 2,487 | $32K |
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 | 29% | 4,302 | 4,014 | $86K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 4,431 | 4,146 | $67K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,095 | 1,087 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 574 | 573 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.1% | 303 | 297 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.7% | 3,679 | 3,606 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 215 | 215 | $8K |
| 92552 | 2.6% | 1,833 | 1,828 | $8K | |
| 90461 | 1.4% | 1,298 | 1,294 | $4K | |
| 99173 | 1.4% | 1,813 | 1,810 | $4K | |
| G9920 | Screening performed and negative | 1.3% | 180 | 177 | $4K |
| 90686 | 1.3% | 1,124 | 1,118 | $4K |
25 more codes
| 96156 | 1.1% | 946 | $3K | |
| 96160 | <1% | 794 | $2K | |
| 90670 | <1% | 334 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 257 | $2K |
| 99442 | <1% | 56 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 97 | $1K |
| 0072A | <1% | 30 | $1K | |
| 86580 | <1% | 215 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 102 | $918.95 |
| 90647 | <1% | 145 | $454.13 | |
| 90661 | <1% | 61 | $342.00 | |
| 90672 | <1% | 76 | $265.83 | |
| 90685 | <1% | 63 | $199.54 | |
| 90651 | <1% | 68 | $166.66 | |
| 90723 | <1% | 40 | $164.26 | |
| 90688 | <1% | 12 | $45.00 | |
| 99188 | <1% | 12 | $17.82 | |
| 99441 | 0% | 115 | $0.00 | |
| 90696 | 0% | 12 | $0.00 | |
| 90480 | 0% | 16 | $0.00 | |
| 3008F | 0% | 21 | $0.00 | |
| 97802 | 0% | 25 | $0.00 | |
| 90680 | 0% | 14 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90633 | 0% | 80 | $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 officialRUSCH, MARIA (PRESIDENT)