Physician
Clinica Medica Centro Hispano INC
Clinica Medica Centro Hispano INC was paid $1.19M by Medicaid between Jan 2018 and Nov 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoCLINICA MEDICA CENTRO HISPANO INC
UPLAND, CA 91786
UPLAND, CA 91786
33aNPI1730360579assigned 11/20/2007
33bProvider typePediatrics Physician
28Total paid$1.19M
24GClaims44,383
24DCodes billed60
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#112 of 1,490
Median peer was paid$15K
This provider vs. median80×
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 | 5,110 | $323K | |
| 2019 | 6,749 | $134K | |
| 2020 | 5,872 | $189K | |
| 2021 | 7,134 | $446K | |
| 2022 | 6,508 | $94K | |
| 2023 | 6,500 | $4K | |
| 2024incomplete | 6,510 | $3K |
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 | 30% | 3,750 | 2,697 | $364K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 26% | 1,146 | 1,090 | $311K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 21% | 2,549 | 2,498 | $251K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 15% | 972 | 969 | $178K |
| A4267 | Contraceptive supply, condom, male, each | 2.6% | 2,782 | 2,778 | $31K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 1.9% | 1,783 | 1,783 | $23K |
| J3490 | Unclassified drugs | <1% | 120 | 107 | $11K |
| 99000 | <1% | 2,868 | 2,851 | $10K | |
| 92551 | <1% | 1,650 | 1,645 | $8K | |
| 81025 | <1% | 892 | 886 | $3K | |
| 90686 | <1% | 241 | 214 | $906.00 | |
| 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 | <1% | 2,794 | 2,741 | $527.29 |
48 more codes
| 90672 | <1% | 61 | $369.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 506 | $358.26 |
| 1111F | <1% | 503 | $264.00 | |
| 1170F | <1% | 373 | $210.00 | |
| 90620 | <1% | 76 | $162.00 | |
| A4268 | Contraceptive supply, condom, female, each | <1% | 34 | $127.16 |
| 94760 | <1% | 1,930 | $107.13 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 391 | $91.17 |
| 90734 | <1% | 63 | $90.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 96 | $81.44 |
| 90651 | <1% | 58 | $78.00 | |
| 90716 | <1% | 13 | $78.00 | |
| 90707 | <1% | 12 | $72.00 | |
| 90658 | <1% | 64 | $44.73 | |
| 0012A | <1% | 27 | $40.00 | |
| 0011A | <1% | 17 | $40.00 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 355 | $40.00 |
| 90655 | <1% | 74 | $39.33 | |
| 0521F | <1% | 1,115 | $15.00 | |
| 1220F | <1% | 165 | $10.00 | |
| 1125F | <1% | 123 | $5.00 | |
| 87110 | 0% | 1,353 | $0.00 | |
| 3079F | 0% | 102 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,065 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 1,624 | $0.00 |
| 3061F | 0% | 430 | $0.00 | |
| 3074F | 0% | 1,430 | $0.00 | |
| 3008F | 0% | 4,206 | $0.00 | |
| 99384 | 0% | 95 | $0.00 | |
| 0001A | 0% | 52 | $0.00 | |
| 99383 | 0% | 140 | $0.00 | |
| 97802 | 0% | 143 | $0.00 | |
| 3044F | 0% | 467 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 277 | $0.00 |
| 3014F | 0% | 43 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 18 | $0.00 |
| 99385 | 0% | 41 | $0.00 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 1,365 | $0.00 |
| 3078F | 0% | 681 | $0.00 | |
| 3045F | 0% | 17 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 271 | $0.00 |
| 97803 | 0% | 1,751 | $0.00 | |
| 3288F | 0% | 45 | $0.00 | |
| 0002A | 0% | 49 | $0.00 | |
| 99382 | 0% | 12 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 64 | $0.00 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 12 | $0.00 |
| 90715 | 0% | 27 | $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 officialDOMINGO, MIGUEL (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Active Healthcare Medical Group INC | West Covina, CA | $37K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.