Physician
Clinica Medica Familiar-Phn INC
Clinica Medica Familiar-Phn INC was paid $375K by Medicaid between Jan 2018 and Aug 2022, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoCLINICA MEDICA FAMILIAR-PHN INC
FONTANA, CA 92335
FONTANA, CA 92335
33aNPI1568585024assigned 04/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$375K
24GClaims8,636
24DCodes billed30
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#309 of 2,511
Median peer was paid$13K
This provider vs. median29×
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 | 4,055 | $167K | |
| 2019 | 2,316 | $98K | |
| 2020 | 514 | $28K | |
| 2021 | 1,050 | $57K | |
| 2022 | 701 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 42% | 1,825 | 1,631 | $158K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 17% | 1,103 | 1,015 | $63K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 10% | 166 | 166 | $38K |
| 99384 | 8.0% | 244 | 244 | $30K | |
| 99383 | 6.5% | 198 | 197 | $24K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.8% | 630 | 586 | $14K |
| 96156 | 1.6% | 321 | 320 | $6K | |
| 92551 | 1.4% | 513 | 512 | $5K | |
| 90633 | 1.1% | 468 | 467 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.0% | 27 | 27 | $4K |
| 90716 | <1% | 410 | 409 | $4K | |
| 90715 | <1% | 400 | 400 | $4K |
18 more codes
| 90649 | <1% | 384 | $3K | |
| 90686 | <1% | 287 | $3K | |
| 90713 | <1% | 289 | $3K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 16 | $2K |
| 90734 | <1% | 200 | $2K | |
| 90707 | <1% | 192 | $2K | |
| 96127 | <1% | 327 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 108 | $1K |
| 86580 | <1% | 267 | $842.13 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 13 | $774.50 |
| 90744 | <1% | 73 | $627.75 | |
| 96150 | <1% | 49 | $588.96 | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 39 | $432.40 |
| 90710 | <1% | 14 | $126.00 | |
| 90620 | <1% | 17 | $123.75 | |
| 90700 | <1% | 15 | $117.00 | |
| 90648 | <1% | 14 | $112.50 | |
| 81025 | <1% | 27 | $75.60 |
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 officialGUERRERO, ESTEBAN (C.O.O.)
| Provider | Location | Paid |
|---|---|---|
| Clinica Medica Familiar-Phn, INC | Rialto, CA | $233K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.