Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › La Quinta › NPI 1598961708
Physician

Ruiz, Edward

Ruiz, Edward was paid $28K by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is G0442, Annual alcohol misuse screening, 5 to 15 minutes — 57% of everything it billed.

33Billing provider infoRUIZ, EDWARD
LA QUINTA, CA 92253
33aNPI1598961708assigned 06/25/2007
28Total paid$28K
24GClaims23,712
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#1,015 of 2,511
Median peer was paid$13K
This provider vs. median2.2×

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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
20182,313$637.50
20192,483$68.59
202015$23.14
202125$54.54
20239,615$11K
2024incomplete9,261$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0442 Annual alcohol misuse screening, 5 to 15 minutes 57% 1,089 1,089 $16K
92552 34% 692 692 $10K
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 4.2% 3,149 3,006 $1K
90656 2.6% 34 34 $735.45
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 408 408 $182.06
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 655 630 $125.28
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 1,193 1,186 $63.54
G9920 Screening performed and negative <1% 919 918 $57.42
G0447 Face-to-face behavioral counseling for obesity, 15 minutes <1% 746 725 $26.31
98966 <1% 112 108 $13.72
98968 <1% 266 249 $10.86
96160 <1% 97 96 $3.76
48 more codes
81000 <1% 15 $2.55
82962 <1% 13 $2.18
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 314 $0.03
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 0% 333 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 84 $0.00
3050F 0% 226 $0.00
1160F 0% 68 $0.00
3078F 0% 1,257 $0.00
3077F 0% 174 $0.00
3725F 0% 151 $0.00
80061 Lipid panel 0% 228 $0.00
1158F 0% 230 $0.00
G0444 Annual depression screening, 5 to 15 minutes 0% 64 $0.00
99203 Doctor's office visit, new patient (routine) 0% 29 $0.00
99215 Doctor's office visit, returning patient (complex) 0% 33 $0.00
1159F 0% 40 $0.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 0% 30 $0.00
4004F 0% 14 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 0% 13 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 13 $0.00
3008F 0% 3,708 $0.00
3075F 0% 391 $0.00
97802 0% 172 $0.00
3048F 0% 471 $0.00
80053 Comprehensive metabolic panel 0% 271 $0.00
3079F 0% 655 $0.00
1036F 0% 1,010 $0.00
3044F 0% 286 $0.00
1111F 0% 39 $0.00
3074F 0% 1,412 $0.00
1126F 0% 476 $0.00
36415 Collection of venous blood by venipuncture 0% 305 $0.00
84443 Thyroid stimulating hormone (TSH) 0% 241 $0.00
1125F 0% 275 $0.00
3049F 0% 287 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 0% 276 $0.00
H0049 Alcohol and/or drug screening 0% 302 $0.00
99386 0% 13 $0.00
83036 Hemoglobin; glycosylated (A1C) 0% 92 $0.00
99385 0% 46 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 0% 54 $0.00
87086 Culture, bacterial; quantitative colony count, urine 0% 13 $0.00
3011F 0% 69 $0.00
3017F 0% 70 $0.00
1034F 0% 12 $0.00
3080F 0% 51 $0.00
99406 0% 13 $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.