Physician
Chen, Crispina
Chen, Crispina was paid $7K by Medicaid between Jan 2018 and Feb 2020, across 16 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 26% of everything it billed.
33Billing provider infoCHEN, CRISPINA
EL MONTE, CA 91731
EL MONTE, CA 91731
33aNPI1558464107assigned 09/07/2006
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims5,226
24DCodes billed16
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#860 of 1,490
Median peer was paid$15K
This provider vs. median0.4×
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 | 1,962 | $5K | |
| 2019 | 2,983 | $2K | |
| 2020 | 281 | $91.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 26% | 223 | 223 | $2K |
| 92552 | 25% | 725 | 724 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 14% | 849 | 792 | $906.85 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 8.4% | 481 | 475 | $547.49 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.9% | 161 | 161 | $380.62 |
| 99173 | 4.6% | 708 | 706 | $296.26 | |
| 83026 | 4.5% | 558 | 557 | $290.58 | |
| 81003 | 3.7% | 452 | 451 | $239.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.5% | 149 | 126 | $226.80 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 338 | 329 | $181.96 |
| 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 | 2.5% | 179 | 178 | $162.41 |
| 97802 | 0% | 274 | 274 | $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.