J Peter Zegarra MD INC

J Peter Zegarra MD INC was paid $2K by Medicaid between Apr 2022 and Feb 2024, across 5 billing codes. Its largest line is 99203, doctor's office visit, new patient (routine) — 44% of everything it billed.

33Billing provider infoJ PETER ZEGARRA MD INC
SACRAMENTO, CA 95825

33aNPI1710561865assigned 05/05/2021

33bProvider typeColon & Rectal Surgery Physician

28Total paid$2K

24GClaims1,324

24DCodes billed5

24AFirst – last monthApr 2022 – Feb 2024

Compared with peers

Next to other Colon & Rectal Surgery Physician providers in California

Rank by total paid#18 of 25

Median peer was paid$6K

This provider vs. median0.4×

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
2022	696	$1K
2023	559	$747.86
2024incomplete	69	$142.96

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	44%	418	418	$886.04
46600		27%	682	672	$545.04
45378	Colonoscopy, flexible; diagnostic, including collection of specimen(s)	16%	34	34	$324.75
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.3%	162	158	$127.37
99243		6.2%	28	28	$124.95

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 officialZEGARRA, J PETER (PROVIDER)