Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Calexico › NPI 1760536254
Physician

Tristan, Luz

Tristan, Luz was paid $327K by Medicaid between Jan 2018 and Sep 2018, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.

33Billing provider infoTRISTAN, LUZ
CALEXICO, CA 92231
33aNPI1760536254assigned 01/22/2007
33bProvider typePediatrics Physician
28Total paid$327K
24GClaims19,068
24DCodes billed29
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#298 of 1,490
Median peer was paid$15K
This provider vs. median22×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201819,068$327K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 3,420 2,896 $99K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 1,019 1,009 $39K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 11% 872 814 $35K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 10% 692 653 $33K
99381 4.9% 265 232 $16K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4.3% 941 938 $14K
92551 4.1% 1,198 1,197 $13K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.8% 222 222 $12K
90670 2.5% 880 873 $8K
90698 2.0% 704 700 $7K
90680 1.7% 619 614 $6K
86580 1.4% 1,310 1,310 $4K
17 more codes
90744 1.3% 475 $4K
99173 1.3% 1,119 $4K
83655 1.3% 384 $4K
85018 1.3% 1,973 $4K
90633 1.1% 398 $4K
90710 1.0% 359 $3K
81001 <1% 1,147 $3K
99238 Hospital discharge day management, 30 minutes or less <1% 62 $2K
90700 <1% 187 $2K
90648 <1% 173 $2K
90658 <1% 146 $1K
90734 <1% 115 $1K
90649 <1% 111 $1K
90696 <1% 118 $1K
90657 <1% 103 $933.41
99460 <1% 13 $587.43
90715 <1% 43 $388.22

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.