Physician
Plazita Medical Clinic INC
Plazita Medical Clinic INC was paid $1.85M by Medicaid between Jan 2018 and Dec 2024, across 73 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 15% of everything it billed.
33Billing provider infoPLAZITA MEDICAL CLINIC INC
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1801808357assigned 08/13/2006
33bProvider typeFamily Medicine Physician
28Total paid$1.85M
24GClaims111,990
24DCodes billed73
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#116 of 2,511
Median peer was paid$13K
This provider vs. median144×
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 | 14,359 | $246K | |
| 2019 | 13,198 | $228K | |
| 2020 | 13,967 | $274K | |
| 2021 | 15,908 | $293K | |
| 2022 | 18,525 | $327K | |
| 2023 | 21,914 | $321K | |
| 2024incomplete | 14,119 | $159K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 15% | 2,516 | 2,491 | $277K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 2,424 | 2,420 | $213K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 9.1% | 2,315 | 2,314 | $169K |
| 99242 | 7.4% | 1,901 | 1,751 | $137K | |
| 99497 | 6.5% | 1,337 | 1,334 | $121K | |
| 92552 | 5.7% | 3,284 | 3,273 | $106K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 1,228 | 1,216 | $91K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 4.8% | 4,227 | 4,224 | $89K |
| 99493 | 4.5% | 524 | 524 | $82K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.5% | 30,510 | 26,180 | $65K |
| 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 | 3.5% | 18,243 | 16,587 | $64K |
| 90688 | 3.3% | 3,569 | 3,549 | $61K |
61 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 2.6% | 3,196 | $49K |
| 99494 | 2.3% | 349 | $43K | |
| 90715 | 1.8% | 1,044 | $33K | |
| 90670 | 1.3% | 466 | $25K | |
| G9920 | Screening performed and negative | 1.3% | 587 | $24K |
| 80305 | 1.2% | 2,583 | $22K | |
| 99173 | 1.1% | 3,201 | $20K | |
| 90686 | 1.0% | 992 | $19K | |
| 90651 | <1% | 692 | $13K | |
| 85018 | <1% | 5,828 | $13K | |
| 90658 | <1% | 660 | $12K | |
| 90734 | <1% | 564 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 93 | $11K |
| 90656 | <1% | 405 | $10K | |
| 90620 | <1% | 431 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 149 | $8K |
| 99245 | <1% | 47 | $7K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 93 | $6K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 173 | $5K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 114 | $5K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,663 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 189 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 679 | $4K |
| 99406 | <1% | 148 | $2K | |
| 90647 | <1% | 103 | $2K | |
| 81005 | <1% | 1,166 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 361 | $2K |
| 99385 | <1% | 24 | $1K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 26 | $1K |
| 86580 | <1% | 160 | $969.93 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 569 | $784.94 |
| 90732 | <1% | 12 | $621.90 | |
| Q3014 | Telehealth originating site facility fee | <1% | 22 | $525.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 122 | $487.47 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 50 | $482.66 |
| 90633 | <1% | 25 | $450.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 13 | $425.00 |
| 90723 | <1% | 24 | $423.00 | |
| 99188 | <1% | 15 | $405.00 | |
| 94664 | <1% | 27 | $374.04 | |
| 90714 | <1% | 13 | $343.56 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 14 | $300.51 |
| 93000 | <1% | 113 | $298.15 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 27 | $278.91 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 26 | $264.10 |
| 69210 | <1% | 13 | $99.20 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 315 | $49.10 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 27 | $36.00 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 130 | $34.36 |
| 94150 | <1% | 222 | $25.05 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 30 | $1.33 |
| 3078F | 0% | 3,422 | $0.00 | |
| 99397 | 0% | 39 | $0.00 | |
| 3077F | 0% | 416 | $0.00 | |
| 99199 | Unlisted special service, procedure or report | 0% | 82 | $0.00 |
| 3079F | 0% | 1,715 | $0.00 | |
| 3074F | 0% | 3,976 | $0.00 | |
| 3080F | 0% | 147 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 728 | $0.00 |
| 3075F | 0% | 948 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 444 | $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 officialSOLINAS, JEFFREY (DIRECTOR)