Physician
Jose R Pena MD PC
Jose R Pena MD PC was paid $62K by Medicaid between Jan 2018 and Oct 2024, across 2 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 94% of everything it billed.
33Billing provider infoJOSE R PENA MD PC
CHULA VISTA, CA 91910
CHULA VISTA, CA 91910
33aNPI1508883356assigned 07/17/2006
33bProvider typeInternal Medicine Physician
28Total paid$62K
24GClaims2,610
24DCodes billed2
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#800 of 2,679
Median peer was paid$13K
This provider vs. median4.9×
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 | 160 | $828.85 | |
| 2019 | 417 | $5K | |
| 2020 | 508 | $14K | |
| 2021 | 463 | $14K | |
| 2022 | 433 | $14K | |
| 2023 | 445 | $11K | |
| 2024incomplete | 184 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 94% | 2,144 | 1,745 | $58K |
| 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 | 6.1% | 466 | 383 | $4K |
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 officialPENA, JOSE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Donna Medical Clinic, PLLC | Donna, TX | $1.35M |
| Centro Clinico Del Yunque, CSP | Rio Grande, PR | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.