Elpedes, Bernard

Elpedes, Bernard was paid $104K by Medicaid between Jan 2018 and Sep 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoELPEDES, BERNARD
LAGUNA HILLS, CA 92653

33aNPI1831127497assigned 06/30/2006

33bProvider typeFamily Medicine Physician

28Total paid$104K

24GClaims1,044

24DCodes billed5

24AFirst – last monthJan 2018 – Sep 2021

Compared with peers

Next to other Family Medicine Physician providers in California

Rank by total paid#606 of 2,511

Median peer was paid$13K

This provider vs. median8.1×

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	576	$59K
2019	333	$34K
2020	121	$10K
2021	14	$978.18

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	37%	358	346	$38K
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	33%	314	300	$34K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	28%	269	269	$29K
99070		1.6%	91	87	$2K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	12	12	$910.32

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.