Julius C. Kpaduwa Medical Corporation
Julius C. Kpaduwa Medical Corporation was paid $1.87M by Medicaid between Jan 2018 and Nov 2024, across 82 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 18% of everything it billed.
33Billing provider infoJULIUS C. KPADUWA MEDICAL CORPORATION
LA PUENTE, CA 91744
LA PUENTE, CA 91744
33aNPI1780733048assigned 01/09/2007
33bProvider typeSpecialist
28Total paid$1.87M
24GClaims115,660
24DCodes billed82
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#121 of 1,230
Median peer was paid$51K
This provider vs. median36×
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 | 14,994 | $427K | |
| 2019 | 18,585 | $352K | |
| 2020 | 15,584 | $273K | |
| 2021 | 18,847 | $306K | |
| 2022 | 16,899 | $218K | |
| 2023 | 19,093 | $208K | |
| 2024incomplete | 11,658 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18% | 26,486 | 23,999 | $336K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 4,426 | 4,208 | $163K |
| Z1034 | 8.2% | 2,792 | 1,789 | $153K | |
| 59425 | 7.7% | 3,261 | 1,948 | $144K | |
| J3490 | Unclassified drugs | 6.6% | 1,744 | 1,541 | $123K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.5% | 2,815 | 2,711 | $121K |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | 5.7% | 260 | 260 | $107K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 5.7% | 3,431 | 2,065 | $107K |
| 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 | 5.0% | 1,308 | 1,273 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.0% | 3,384 | 3,314 | $75K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.1% | 720 | 704 | $58K |
| 99381 | 3.0% | 696 | 655 | $57K |
70 more codes
| 99460 | 2.0% | 673 | $37K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.5% | 2,379 | $29K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.2% | 1,003 | $23K |
| Z1032 | 1.2% | 156 | $23K | |
| 59430 | 1.2% | 664 | $23K | |
| 99462 | 1.1% | 1,336 | $20K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,253 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,468 | $16K |
| 92552 | <1% | 4,041 | $15K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 290 | $12K |
| 99000 | <1% | 9,744 | $11K | |
| 90670 | <1% | 1,558 | $10K | |
| 90697 | <1% | 97 | $7K | |
| Z6500 | <1% | 55 | $7K | |
| 97802 | <1% | 4,697 | $6K | |
| 90744 | <1% | 621 | $6K | |
| 90698 | <1% | 991 | $6K | |
| 85018 | <1% | 8,379 | $6K | |
| 90680 | <1% | 909 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,933 | $5K |
| 83655 | <1% | 562 | $5K | |
| 90633 | <1% | 528 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 70 | $4K |
| 81025 | <1% | 2,064 | $4K | |
| 92551 | <1% | 944 | $4K | |
| 76813 | <1% | 54 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 90 | $3K |
| 90700 | <1% | 376 | $3K | |
| 90658 | <1% | 476 | $2K | |
| 99205 | Prolong outpt/office vis | <1% | 62 | $2K |
| H1000 | Prenatal care, at-risk assessment | <1% | 28 | $2K |
| 90716 | <1% | 367 | $1K | |
| 90707 | <1% | 327 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 126 | $1K |
| Z6400 | <1% | 72 | $1K | |
| 99384 | <1% | 16 | $843.45 | |
| Z1038 | <1% | 14 | $767.47 | |
| 99173 | <1% | 308 | $665.00 | |
| 90715 | <1% | 34 | $662.41 | |
| 90651 | <1% | 67 | $661.50 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 4,649 | $613.59 |
| 99382 | <1% | 130 | $579.02 | |
| 92081 | <1% | 2,909 | $566.27 | |
| Z6304 | <1% | 61 | $553.35 | |
| 90649 | <1% | 114 | $486.55 | |
| Z6204 | <1% | 49 | $379.26 | |
| Z6406 | <1% | 48 | $364.12 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 25 | $360.25 |
| 90686 | <1% | 38 | $279.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 336 | $238.00 |
| 90734 | <1% | 58 | $224.00 | |
| 99383 | <1% | 15 | $185.56 | |
| 90655 | <1% | 33 | $162.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 15 | $152.64 |
| 97803 | <1% | 438 | $114.26 | |
| 90713 | <1% | 44 | $110.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 44 | $73.69 |
| 87110 | <1% | 48 | $64.11 | |
| 83026 | <1% | 40 | $42.06 | |
| 86580 | <1% | 13 | $36.20 | |
| 87070 | <1% | 246 | $22.41 | |
| 0502F | <1% | 3,471 | $13.38 | |
| 81000 | <1% | 97 | $2.58 | |
| 0503F | 0% | 171 | $0.00 | |
| 0501F | 0% | 130 | $0.00 | |
| 0500F | 0% | 141 | $0.00 | |
| 3074F | 0% | 29 | $0.00 | |
| 3078F | 0% | 47 | $0.00 | |
| 96160 | 0% | 50 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 16 | $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 officialKPADUWA, JULIUS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Julius C Kpaduwa Medical Corporation | El Monte, CA | $1.66M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.