Nisperos, Carmelita

Nisperos, Carmelita was paid $866K by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 97802, — 27% of everything it billed.

33Billing provider infoNISPEROS, CARMELITA
MANTECA, CA 95336

33aNPI1760594089assigned 08/31/2006

33bProvider typePediatrics Physician

28Total paid$866K

24GClaims76,822

24DCodes billed47

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#147 of 1,490

Median peer was paid$15K

This provider vs. median58×

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	16,903	$262K
2019	15,222	$198K
2020	10,184	$151K
2021	11,489	$107K
2022	9,710	$65K
2023	7,439	$45K
2024incomplete	5,875	$37K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
97802		27%	6,774	6,741	$236K
92081		17%	3,868	3,853	$150K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	15%	7,287	7,154	$133K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	6.9%	4,215	3,936	$60K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	6.6%	2,190	2,139	$57K
69210		5.5%	1,336	1,328	$47K
D1206	Topical application of fluoride varnish	5.1%	1,847	1,842	$44K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	4.0%	10,967	10,070	$35K
Q3014	Telehealth originating site facility fee	2.9%	918	860	$25K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.1%	261	260	$19K
99173		1.2%	3,011	2,991	$11K
97803		1.1%	292	289	$9K

35 more codes

99188		<1%	395	$9K
99214	Doctor's office visit, returning patient (more involved)	<1%	5,410	$8K
G9920	Screening performed and negative	<1%	201	$7K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	657	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	2,822	$2K
83655		<1%	147	$2K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	3,412	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	<1%	2,158	$1K
92551		<1%	7,660	$1K
96127		<1%	137	$793.39
99383		<1%	122	$343.24
99204	Doctor's office visit, new patient (more involved)	<1%	28	$270.60
99203	Doctor's office visit, new patient (routine)	<1%	17	$224.67
90688		<1%	1,169	$205.79
99215	Doctor's office visit, returning patient (complex)	<1%	37	$149.78
90700		<1%	1,051	$68.20
90715		<1%	472	$54.50
90680		<1%	248	$41.20
90670		<1%	1,129	$38.60
90620		<1%	789	$38.49
90698		<1%	259	$37.08
94760		<1%	435	$33.55
90686		<1%	709	$32.96
90633		<1%	683	$29.31
90707		<1%	479	$21.07
90647		<1%	433	$18.00
90713		<1%	700	$18.00
90696		<1%	48	$16.48
90651		<1%	671	$12.83
90710		<1%	218	$4.12
90734		<1%	263	$4.12
90716		0%	469	$0.00
90744		0%	234	$0.00
90685		0%	140	$0.00
90648		0%	54	$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.