Del Rosario Medical Clinic, INC.

Del Rosario Medical Clinic, INC. was paid $150K by Medicaid between Jan 2018 and Oct 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.

33Billing provider infoDEL ROSARIO MEDICAL CLINIC, INC.
HUNTINGTON PARK, CA 90255

33aNPI1659419307assigned 02/02/2007

33bProvider typeFamily Medicine Physician

28Total paid$150K

24GClaims10,823

24DCodes billed31

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#507 of 2,511

Median peer was paid$13K

This provider vs. median12×

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	1,890	$31K
2019	1,761	$25K
2020	934	$7K
2021	1,680	$32K
2022	1,593	$19K
2023	1,826	$24K
2024incomplete	1,139	$12K

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	46%	3,982	3,658	$70K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	15%	333	328	$23K
G9920	Screening performed and negative	9.5%	873	868	$14K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	9.1%	265	265	$14K
Z1034		5.7%	158	114	$9K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.8%	146	143	$7K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.1%	50	46	$3K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.8%	77	76	$3K
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	1.1%	12	12	$2K
90686		1.1%	93	93	$2K
92552		<1%	68	68	$907.14
85018		<1%	700	695	$846.98

19 more codes

81000		<1%	586	$822.06
90674		<1%	19	$381.80
A4267	Contraceptive supply, condom, male, each	<1%	42	$352.80
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	53	$207.38
83026		<1%	76	$197.58
90756		<1%	23	$189.44
90670		<1%	37	$189.00
H0049	Alcohol and/or drug screening	<1%	966	$182.44
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	922	$156.55
90658		<1%	36	$146.85
99000		<1%	39	$139.73
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%	95	$113.68
81003		<1%	45	$91.35
1036F		<1%	999	$76.68
90657		<1%	25	$61.20
93000		<1%	16	$30.00
96127		<1%	63	$19.04
90734		<1%	12	$18.00
92081		<1%	12	$15.20

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.

From NPPES

Who's on the registration

Authorized officialCALATAYUD, GRACIELA (MEDICAL DIRECTOR)