Pajaro Valley Neurology Medical Associates INC.
Pajaro Valley Neurology Medical Associates INC. was paid $504K by Medicaid between Jan 2018 and Jan 2022, across 10 billing codes. Its largest line is 95816, — 29% of everything it billed.
33Billing provider infoPAJARO VALLEY NEUROLOGY MEDICAL ASSOCIATES INC.
WATSONVILLE, CA 95076
WATSONVILLE, CA 95076
33aNPI1841306412assigned 08/23/2006
33bProvider typeSpecialist
28Total paid$504K
24GClaims5,347
24DCodes billed10
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Specialist providers in California
Rank by total paid#276 of 1,230
Median peer was paid$51K
This provider vs. median9.8×
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 | 1,594 | $158K | |
| 2019 | 1,493 | $134K | |
| 2020 | 994 | $84K | |
| 2021 | 1,221 | $124K | |
| 2022 | 45 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95816 | 29% | 735 | 735 | $146K | |
| 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 | 28% | 2,111 | 2,090 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,386 | 1,331 | $69K |
| 99223 | Prolong inpt eval add15 m | 11% | 475 | 475 | $57K |
| 99205 | Prolong outpt/office vis | 10% | 342 | 342 | $53K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 119 | 119 | $15K |
| 95911 | 2.4% | 63 | 62 | $12K | |
| 95886 | 2.3% | 76 | 76 | $12K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 13 | 13 | $2K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 27 | 13 | $738.96 |
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 officialAGUILAR, ROSEMARY (MEDICAL BILLER)