Physician
Endress, Don
Endress, Don was paid $485K by Medicaid between Jan 2018 and Nov 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoENDRESS, DON
WATERFORD, CA 95386
WATERFORD, CA 95386
33aNPI1588664684assigned 07/29/2005
33bProvider typeGeneral Practice Physician
28Total paid$485K
24GClaims34,731
24DCodes billed26
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#53 of 474
Median peer was paid$10K
This provider vs. median47×
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 | 6,969 | $105K | |
| 2019 | 6,725 | $90K | |
| 2020 | 5,323 | $70K | |
| 2021 | 4,891 | $73K | |
| 2022 | 4,283 | $63K | |
| 2023 | 3,892 | $54K | |
| 2024incomplete | 2,648 | $28K |
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 | 72% | 13,324 | 11,926 | $347K |
| 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 | 14% | 1,690 | 1,627 | $69K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 8.5% | 598 | 546 | $41K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 1.9% | 112 | 112 | $9K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 44 | 44 | $5K |
| 92552 | <1% | 218 | 217 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 59 | 59 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 42 | 38 | $1K |
| 96127 | <1% | 205 | 202 | $891.93 | |
| 81000 | <1% | 311 | 303 | $792.06 | |
| 99173 | <1% | 266 | 265 | $784.84 | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 13 | $711.36 |
14 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 72 | $648.00 |
| 81002 | <1% | 72 | $147.89 | |
| 85018 | <1% | 31 | $63.57 | |
| 3008F | 0% | 4,084 | $0.00 | |
| 1125F | 0% | 3,137 | $0.00 | |
| 3075F | 0% | 330 | $0.00 | |
| 3074F | 0% | 1,951 | $0.00 | |
| 3079F | 0% | 1,096 | $0.00 | |
| 3080F | 0% | 658 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 65 | $0.00 |
| 3044F | 0% | 12 | $0.00 | |
| 3078F | 0% | 1,910 | $0.00 | |
| 1159F | 0% | 3,056 | $0.00 | |
| 3077F | 0% | 1,375 | $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.