Clinic
Luz Tristan MD INC
Luz Tristan MD INC was paid $22K by Medicaid between Feb 2024 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 15% of everything it billed.
33Billing provider infoLUZ TRISTAN MD INC
CALEXICO, CA 92231
CALEXICO, CA 92231
33aNPI1801037577assigned 03/10/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$22K
24GClaims14,915
24DCodes billed40
24AFirst – last monthFeb 2024 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#218 of 422
Median peer was paid$25K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2024incomplete | 14,915 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 2,150 | 1,806 | $3K |
| 90651 | 14% | 118 | 118 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 387 | 387 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 267 | 267 | $2K |
| 90619 | 8.1% | 101 | 101 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.8% | 732 | 732 | $1K |
| 90710 | 5.8% | 143 | 143 | $1K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 325 | 325 | $1K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.5% | 835 | 835 | $1K |
| 90715 | 3.2% | 52 | 52 | $719.26 | |
| 90461 | 2.2% | 414 | 414 | $485.94 | |
| 97802 | 2.1% | 1,004 | 1,004 | $459.78 |
28 more codes
| 90677 | 1.8% | 245 | $396.04 | |
| 86580 | 1.6% | 858 | $346.10 | |
| 92551 | 1.4% | 567 | $317.90 | |
| 90620 | 1.3% | 66 | $295.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.2% | 741 | $263.37 |
| 90696 | <1% | 43 | $184.99 | |
| 85018 | <1% | 1,167 | $151.36 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 643 | $140.53 |
| 90633 | <1% | 124 | $117.59 | |
| 99173 | <1% | 783 | $103.27 | |
| 90700 | <1% | 38 | $88.64 | |
| 92552 | <1% | 182 | $77.89 | |
| 90686 | <1% | 286 | $67.98 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 174 | $46.06 |
| 81003 | <1% | 817 | $44.74 | |
| 99188 | <1% | 279 | $40.50 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 54 | $25.30 |
| 90648 | <1% | 25 | $17.56 | |
| 83655 | <1% | 110 | $16.30 | |
| H0033 | Oral medication administration, direct observation | <1% | 74 | $9.15 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 250 | $0.00 |
| G9920 | Screening performed and negative | 0% | 126 | $0.00 |
| 90681 | 0% | 30 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 16 | $0.00 |
| 90697 | 0% | 162 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 280 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 189 | $0.00 |
| 90680 | 0% | 58 | $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 officialTRISTAN, LUZ (PEDIATRICIAN)