Physician
Le, Charles
Le, Charles was paid $167K by Medicaid between Jan 2018 and Apr 2023, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 26% of everything it billed.
33Billing provider infoLE, CHARLES
SAN DIEGO, CA 92115
SAN DIEGO, CA 92115
33aNPI1821243759assigned 11/19/2008
33bProvider typeInternal Medicine Physician
28Total paid$167K
24GClaims21,742
24DCodes billed40
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Internal Medicine Physician providers in California
Rank by total paid#503 of 2,679
Median peer was paid$13K
This provider vs. median13×
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 | 3,355 | $27K | |
| 2019 | 3,172 | $21K | |
| 2020 | 2,931 | $31K | |
| 2021 | 6,448 | $55K | |
| 2022 | 5,712 | $32K | |
| 2023 | 124 | $1K |
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 | 26% | 3,302 | 3,211 | $43K |
| 99429 | 21% | 297 | 297 | $34K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,764 | 5,575 | $21K |
| 90682 | 12% | 598 | 593 | $20K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 6.9% | 480 | 97 | $11K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 4.3% | 1,430 | 1,421 | $7K |
| 99454 | 3.8% | 324 | 317 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 3.3% | 355 | 53 | $6K |
| 90961 | 3.0% | 70 | 70 | $5K | |
| 90662 | 2.1% | 184 | 183 | $3K | |
| 99457 | 1.5% | 324 | 317 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.4% | 337 | 337 | $2K |
28 more codes
| 99453 | <1% | 65 | $1K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 440 | $995.50 |
| 99385 | <1% | 41 | $750.70 | |
| 96160 | <1% | 1,541 | $578.75 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 373 | $315.00 |
| 90686 | <1% | 13 | $281.88 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 192 | $269.84 |
| 99490 | Ccm add 20min | <1% | 28 | $169.80 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 682 | $105.71 |
| 96156 | <1% | 489 | $83.46 | |
| 99000 | <1% | 56 | $49.02 | |
| 3074F | 0% | 618 | $0.00 | |
| 1170F | 0% | 381 | $0.00 | |
| 3075F | 0% | 106 | $0.00 | |
| 1126F | 0% | 196 | $0.00 | |
| 3008F | 0% | 306 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 681 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 58 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 65 | $0.00 |
| 1125F | 0% | 194 | $0.00 | |
| 99386 | 0% | 15 | $0.00 | |
| 3044F | 0% | 24 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 1158F | 0% | 84 | $0.00 | |
| 3078F | 0% | 847 | $0.00 | |
| 1160F | 0% | 345 | $0.00 | |
| 1159F | 0% | 359 | $0.00 | |
| 3077F | 0% | 64 | $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.