GUSTAVO A MONDRAGON MD A MEDICAL CORPORATION
NPI: 1538670930
· CHULA VISTA, CA 91910
· 207RC0000X
$151K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
950 |
$18K |
| 2019 |
1,624 |
$30K |
| 2020 |
768 |
$17K |
| 2021 |
715 |
$21K |
| 2022 |
1,419 |
$21K |
| 2023 |
1,835 |
$40K |
| 2024 |
724 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,253 |
3,200 |
$69K |
| 93306 |
|
307 |
305 |
$44K |
| 93000 |
|
2,829 |
2,785 |
$29K |
| 99213 |
|
1,353 |
1,298 |
$6K |
| 93356 |
|
101 |
101 |
$2K |
| 99442 |
|
14 |
14 |
$357.30 |
| G2012 |
Brief check in by md/qhp |
35 |
35 |
$302.21 |
| 99203 |
|
72 |
72 |
$294.48 |
| 99497 |
|
14 |
14 |
$91.14 |
| 3074F |
|
12 |
12 |
$0.00 |
| G8510 |
Scr dep neg, no plan reqd |
33 |
33 |
$0.00 |
| 3078F |
|
12 |
12 |
$0.00 |