Physician
Canchola, Gerardo
Canchola, Gerardo was paid $406K by Medicaid between Jan 2018 and Dec 2023, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoCANCHOLA, GERARDO
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1639185879assigned 07/31/2006
33bProvider typeFamily Medicine Physician
28Total paid$406K
24GClaims7,533
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#291 of 2,511
Median peer was paid$13K
This provider vs. median32×
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 | 503 | $48K | |
| 2019 | 728 | $60K | |
| 2020 | 317 | $29K | |
| 2021 | 686 | $66K | |
| 2022 | 582 | $81K | |
| 2023 | 4,717 | $121K |
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 | 45% | 1,357 | 1,261 | $181K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 1,821 | 1,524 | $159K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.8% | 149 | 146 | $23K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.9% | 545 | 511 | $12K |
| 97802 | 2.3% | 512 | 483 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 326 | 322 | $6K |
| 96156 | 1.2% | 29 | 26 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.1% | 40 | 39 | $4K |
| 96127 | <1% | 88 | 84 | $3K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 61 | 61 | $2K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 35 | 35 | $1K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 28 | 28 | $404.51 |
24 more codes
| 3074F | 0% | 321 | $0.00 | |
| 3008F | 0% | 522 | $0.00 | |
| 1220F | 0% | 259 | $0.00 | |
| 3048F | 0% | 105 | $0.00 | |
| 3044F | 0% | 126 | $0.00 | |
| 3075F | 0% | 108 | $0.00 | |
| 1170F | 0% | 18 | $0.00 | |
| 3079F | 0% | 282 | $0.00 | |
| 4050F | 0% | 152 | $0.00 | |
| 3080F | 0% | 42 | $0.00 | |
| 1101F | 0% | 15 | $0.00 | |
| 3049F | 0% | 12 | $0.00 | |
| 0509F | 0% | 14 | $0.00 | |
| 1125F | 0% | 15 | $0.00 | |
| 3077F | 0% | 92 | $0.00 | |
| 3078F | 0% | 173 | $0.00 | |
| 1158F | 0% | 15 | $0.00 | |
| 1003F | 0% | 14 | $0.00 | |
| 3288F | 0% | 14 | $0.00 | |
| 1090F | 0% | 14 | $0.00 | |
| 1159F | 0% | 110 | $0.00 | |
| 1160F | 0% | 91 | $0.00 | |
| 3050F | 0% | 12 | $0.00 | |
| 0521F | 0% | 16 | $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.