Clinic
Montecristo Medical PC
Montecristo Medical PC was paid $98K by Medicaid between Mar 2019 and Nov 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoMONTECRISTO MEDICAL PC
VAN NUYS, CA 91411
VAN NUYS, CA 91411
33aNPI1699268631assigned 06/13/2018
33bProvider typePrimary Care Clinic/Center
28Total paid$98K
24GClaims60,614
24DCodes billed72
24AFirst – last monthMar 2019 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#152 of 422
Median peer was paid$25K
This provider vs. median4.0×
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 | |
|---|---|---|---|
| 2019 | 3,356 | $8K | |
| 2020 | 3,717 | $2K | |
| 2021 | 4,927 | $4K | |
| 2022 | 9,247 | $8K | |
| 2023 | 17,736 | $20K | |
| 2024incomplete | 21,631 | $56K |
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 | 36% | 4,229 | 4,085 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.9% | 3,828 | 3,666 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.7% | 1,833 | 1,705 | $9K |
| 93000 | 6.9% | 714 | 711 | $7K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 6.0% | 3,617 | 3,482 | $6K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 5.2% | 852 | 851 | $5K |
| 92551 | 4.8% | 1,172 | 1,164 | $5K | |
| 97803 | 3.1% | 2,200 | 2,090 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.4% | 503 | 503 | $2K |
| 99385 | 2.4% | 50 | 49 | $2K | |
| 96156 | 2.0% | 1,287 | 1,276 | $2K | |
| 99000 | 1.7% | 4,312 | 4,205 | $2K |
60 more codes
| 99215 | Doctor's office visit, returning patient (complex) | 1.6% | 300 | $2K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,345 | $943.55 |
| 80061 | Lipid panel | <1% | 389 | $857.36 |
| 81000 | <1% | 2,001 | $777.82 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 84 | $727.93 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 115 | $710.44 |
| 99401 | <1% | 312 | $607.50 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 431 | $537.31 |
| 92081 | <1% | 300 | $520.00 | |
| 80053 | Comprehensive metabolic panel | <1% | 422 | $491.22 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 1,466 | $380.00 |
| 97802 | <1% | 802 | $376.20 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,512 | $338.40 |
| 99173 | <1% | 622 | $259.62 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 318 | $169.04 |
| 3008F | <1% | 4,976 | $165.04 | |
| 96127 | <1% | 102 | $164.28 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 146 | $150.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 48 | $148.56 |
| 99386 | <1% | 12 | $143.40 | |
| 3078F | <1% | 3,864 | $134.53 | |
| 85018 | <1% | 392 | $131.78 | |
| 3074F | <1% | 3,550 | $131.53 | |
| 82962 | <1% | 445 | $121.80 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 317 | $113.96 |
| 1160F | <1% | 3,576 | $75.00 | |
| 82270 | <1% | 110 | $47.63 | |
| 99366 | <1% | 14 | $36.71 | |
| 90649 | <1% | 12 | $27.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 73 | $20.80 |
| 3079F | <1% | 602 | $20.01 | |
| 92552 | <1% | 14 | $16.52 | |
| 99442 | <1% | 55 | $5.00 | |
| 1159F | <1% | 3,713 | $2.70 | |
| 3044F | <1% | 295 | $2.00 | |
| 1125F | <1% | 219 | $1.80 | |
| 3075F | <1% | 472 | $0.01 | |
| 96160 | 0% | 656 | $0.00 | |
| 3077F | 0% | 471 | $0.00 | |
| 3050F | 0% | 72 | $0.00 | |
| 1158F | 0% | 28 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 60 | $0.00 |
| 3015F | 0% | 156 | $0.00 | |
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 0% | 53 | $0.00 |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 12 | $0.00 |
| 82274 | 0% | 45 | $0.00 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 0% | 24 | $0.00 |
| 4004F | 0% | 22 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 76 | $0.00 |
| 4050F | 0% | 116 | $0.00 | |
| 1126F | 0% | 368 | $0.00 | |
| 3017F | 0% | 170 | $0.00 | |
| 3049F | 0% | 89 | $0.00 | |
| 1036F | 0% | 66 | $0.00 | |
| 99441 | 0% | 30 | $0.00 | |
| 88150 | 0% | 13 | $0.00 | |
| 99406 | 0% | 22 | $0.00 | |
| 3080F | 0% | 15 | $0.00 | |
| 3014F | 0% | 12 | $0.00 | |
| 3048F | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialGONZALEZ, ANITA (PRESIDENT)