Physician
Aguilar, David
Aguilar, David was paid $44K by Medicaid between Jan 2018 and Jun 2023, across 31 billing codes. Its largest line is 87426, Infectious agent antigen detection, SARS-CoV-2 (COVID-19) — 14% of everything it billed.
33Billing provider infoAGUILAR, DAVID
DOWNEY, CA 90241
DOWNEY, CA 90241
33aNPI1730291287assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$44K
24GClaims22,921
24DCodes billed31
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#601 of 1,490
Median peer was paid$15K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2018 | 3,033 | $3K | |
| 2019 | 5,508 | $11K | |
| 2020 | 3,241 | $6K | |
| 2021 | 4,464 | $8K | |
| 2022 | 6,140 | $15K | |
| 2023 | 535 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 14% | 309 | 299 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 593 | 573 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 11% | 2,679 | 2,096 | $5K |
| 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 | 11% | 4,967 | 4,560 | $5K |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 7.8% | 2,899 | 2,836 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 811 | 803 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 496 | 492 | $2K |
| 90700 | 3.7% | 557 | 521 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.5% | 1,523 | 1,514 | $2K |
| 90686 | 2.9% | 538 | 528 | $1K | |
| 97802 | 2.8% | 2,817 | 2,763 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.7% | 56 | 54 | $1K |
19 more codes
| 0071A | 2.6% | 34 | $1K | |
| 0072A | 2.5% | 29 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 2.1% | 298 | $948.64 |
| 90713 | 2.1% | 298 | $916.75 | |
| 90716 | 2.0% | 461 | $888.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.7% | 347 | $749.00 |
| 90648 | 1.5% | 228 | $656.75 | |
| 90670 | 1.1% | 235 | $496.75 | |
| 90707 | 1.1% | 98 | $492.00 | |
| 90651 | 1.1% | 252 | $477.00 | |
| 3008F | <1% | 2,051 | $404.00 | |
| 90734 | <1% | 101 | $143.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 32 | $97.79 |
| 90633 | <1% | 53 | $64.00 | |
| 90715 | <1% | 19 | $23.00 | |
| 87070 | <1% | 14 | $14.86 | |
| 90461 | <1% | 96 | $10.00 | |
| 90680 | <1% | 15 | $9.00 | |
| 81000 | 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.