Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Joseph Caperna MD a Professional Corporation

Joseph Caperna MD a Professional Corporation was paid $30K by Medicaid between Sep 2018 and Nov 2024, across 16 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 81% of everything it billed.

33Billing provider infoJOSEPH CAPERNA MD A PROFESSIONAL CORPORATION
SAN DIEGO, CA 92101
33aNPI1770926743assigned 04/09/2013
28Total paid$30K
24GClaims2,161
24DCodes billed16
24AFirst – last monthSep 2018 – Nov 2024
Compared with peers

Next to other Hematology & Oncology Physician providers in California

Rank by total paid#87 of 180
Median peer was paid$26K
This provider vs. median1.2×

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$1.0K$2.0K2018201920202021202220232024
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
2018113$346.37
2019476$4K
2020360$4K
2021113$571.53
2022248$2K
2023471$9K
2024incomplete380$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 81% 1,060 825 $24K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.0% 176 153 $2K
99407 2.7% 253 236 $820.88
99201 2.2% 25 25 $668.63
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.2% 114 100 $663.30
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 2.1% 61 54 $629.65
99497 1.2% 93 93 $371.67
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 16 16 $262.21
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes <1% 75 74 $176.71
99000 <1% 14 14 $120.46
G0442 Annual alcohol misuse screening, 5 to 15 minutes <1% 75 74 $120.06
90686 <1% 77 75 $100.64
4 more codes
99406 <1% 19 $82.58
G0444 Annual depression screening, 5 to 15 minutes <1% 32 $19.03
G0008 Administration of influenza virus vaccine <1% 49 $5.40
90674 <1% 22 $0.48

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 officialCAPERNA, JOSEPH (MD)