Physician
Estrada, Raul
Estrada, Raul was paid $1.48M by Medicaid between Jan 2018 and Aug 2023, across 56 billing codes. Its largest line is 96156, — 23% of everything it billed.
33Billing provider infoESTRADA, RAUL
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1659396141assigned 07/13/2006
33bProvider typePediatrics Physician
28Total paid$1.48M
24GClaims67,420
24DCodes billed56
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#92 of 1,490
Median peer was paid$15K
This provider vs. median99×
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 | 10,458 | $182K | |
| 2019 | 14,822 | $321K | |
| 2020 | 10,424 | $184K | |
| 2021 | 11,505 | $243K | |
| 2022 | 13,315 | $351K | |
| 2023 | 6,896 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 23% | 4,692 | 4,594 | $347K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 11,248 | 8,390 | $281K |
| 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 | 9.5% | 3,784 | 2,850 | $141K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.6% | 1,749 | 1,564 | $97K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 1,403 | 1,267 | $94K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 1,673 | 1,389 | $89K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 1,751 | 1,423 | $89K |
| G9920 | Screening performed and negative | 4.1% | 3,017 | 2,972 | $60K |
| 92551 | 3.4% | 3,941 | 3,904 | $50K | |
| 96151 | 2.4% | 1,811 | 1,805 | $36K | |
| 86580 | 1.2% | 4,185 | 4,141 | $18K | |
| 90700 | 1.2% | 2,016 | 1,989 | $18K |
44 more codes
| 90686 | 1.1% | 1,783 | $16K | |
| 90713 | 1.0% | 1,725 | $15K | |
| 90648 | <1% | 1,616 | $14K | |
| 90670 | <1% | 1,631 | $14K | |
| 87110 | <1% | 648 | $10K | |
| 85018 | <1% | 5,081 | $10K | |
| 81000 | <1% | 3,860 | $9K | |
| 90744 | <1% | 936 | $8K | |
| 90651 | <1% | 567 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 420 | $6K |
| 99381 | <1% | 104 | $6K | |
| 96150 | <1% | 243 | $5K | |
| 90680 | <1% | 543 | $5K | |
| 90681 | <1% | 497 | $4K | |
| 99460 | <1% | 49 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 38 | $4K |
| 90716 | <1% | 352 | $3K | |
| 90734 | <1% | 270 | $3K | |
| 90707 | <1% | 283 | $3K | |
| 90633 | <1% | 269 | $2K | |
| 90621 | <1% | 150 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 369 | $2K |
| 90658 | <1% | 162 | $1K | |
| 83655 | <1% | 101 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $904.74 |
| 90688 | <1% | 106 | $837.06 | |
| 90655 | <1% | 72 | $630.00 | |
| 99462 | <1% | 17 | $552.67 | |
| 90715 | <1% | 30 | $270.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $254.80 |
| 90619 | <1% | 32 | $252.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 20 | $231.25 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $210.28 |
| 87430 | <1% | 12 | $90.00 | |
| 99000 | <1% | 30 | $81.68 | |
| 99173 | <1% | 2,925 | $16.10 | |
| 99050 | 0% | 525 | $0.00 | |
| 36416 | 0% | 89 | $0.00 | |
| 36406 | 0% | 42 | $0.00 | |
| 94762 | 0% | 131 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 282 | $0.00 |
| 91300 | 0% | 59 | $0.00 | |
| 90649 | 0% | 23 | $0.00 | |
| 92081 | 0% | 18 | $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.