Physician
Flores, Teresa
Flores, Teresa was paid $549K by Medicaid between Jan 2018 and Aug 2023, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoFLORES, TERESA
SANTA ANA, CA 92701
SANTA ANA, CA 92701
33aNPI1770852659assigned 12/21/2011
33bProvider typeFamily Medicine Physician
28Total paid$549K
24GClaims40,324
24DCodes billed59
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#243 of 2,511
Median peer was paid$13K
This provider vs. median43×
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 | 3,958 | $74K | |
| 2019 | 13,666 | $152K | |
| 2020 | 11,439 | $99K | |
| 2021 | 6,054 | $74K | |
| 2022 | 2,672 | $65K | |
| 2023 | 2,535 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 7,577 | 7,229 | $253K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 40% | 10,953 | 9,998 | $218K |
| 90688 | 3.3% | 664 | 656 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 883 | 824 | $10K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 222 | 219 | $8K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 191 | 190 | $8K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 136 | 135 | $7K |
| 90686 | <1% | 258 | 257 | $5K | |
| 90682 | <1% | 54 | 54 | $3K | |
| 96151 | <1% | 642 | 637 | $3K | |
| 96150 | <1% | 356 | 356 | $3K | |
| 90756 | <1% | 84 | 84 | $2K |
47 more codes
| 90715 | <1% | 57 | $2K | |
| 96156 | <1% | 97 | $1K | |
| 93000 | <1% | 50 | $1K | |
| 99205 | Prolong outpt/office vis | <1% | 12 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 595 | $1K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,037 | $977.12 |
| 80061 | Lipid panel | <1% | 966 | $806.94 |
| 81003 | <1% | 427 | $353.44 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 27 | $235.65 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 4,329 | $198.58 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 26 | $127.56 |
| 85018 | <1% | 212 | $68.18 | |
| 96127 | <1% | 369 | $67.28 | |
| 81002 | <1% | 297 | $41.29 | |
| 92551 | <1% | 12 | $29.60 | |
| 99406 | <1% | 147 | $29.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $7.24 |
| 81025 | <1% | 52 | $5.60 | |
| 80053 | Comprehensive metabolic panel | <1% | 935 | $1.91 |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 541 | $0.84 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 358 | $0.46 |
| 82274 | <1% | 167 | $0.24 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 78 | $0.17 |
| 86592 | <1% | 75 | $0.16 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 62 | $0.13 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 64 | $0.13 |
| 82043 | <1% | 61 | $0.11 | |
| 80074 | <1% | 35 | $0.10 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 76 | $0.09 |
| 84439 | <1% | 44 | $0.05 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 113 | $0.03 |
| 84481 | <1% | 43 | $0.02 | |
| 98960 | 0% | 2,789 | $0.00 | |
| 2014F | 0% | 635 | $0.00 | |
| 0124A | 0% | 14 | $0.00 | |
| 91300 | 0% | 22 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 99173 | 0% | 12 | $0.00 | |
| 2028F | 0% | 14 | $0.00 | |
| 82607 | 0% | 28 | $0.00 | |
| 1000F | 0% | 3,021 | $0.00 | |
| 4000F | 0% | 129 | $0.00 | |
| 3700F | 0% | 137 | $0.00 | |
| G0467 | Community health center visit, returning patient | 0% | 51 | $0.00 |
| 86376 | 0% | 13 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 17 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 32 | $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.