Mondragon, Gustavo

Mondragon, Gustavo was paid $134K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.

33Billing provider infoMONDRAGON, GUSTAVO
CHULA VISTA, CA 91910

33aNPI1619080041assigned 08/17/2006

33bProvider typeCardiovascular Disease Physician

28Total paid$134K

24GClaims5,789

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Cardiovascular Disease Physician providers in California

Rank by total paid#231 of 714

Median peer was paid$28K

This provider vs. median4.7×

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	1,385	$29K
2019	1,187	$21K
2020	767	$15K
2021	896	$21K
2022	753	$21K
2023	545	$15K
2024incomplete	256	$13K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	51%	2,527	2,484	$68K
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	25%	295	291	$33K
93000		20%	2,663	2,617	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.5%	151	149	$2K
93356		1.4%	65	65	$2K
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%	47	46	$733.52
99442		<1%	41	40	$464.10

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.