Physician
Lake Elsinore Clinica Medica Familiar a Medical Corporation
Lake Elsinore Clinica Medica Familiar a Medical Corporation was paid $20K by Medicaid between Jan 2018 and Feb 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoLAKE ELSINORE CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
LAKE ELSINORE, CA 92530
LAKE ELSINORE, CA 92530
33aNPI1851625396assigned 10/01/2009
33bProvider typeFamily Medicine Physician
28Total paid$20K
24GClaims7,850
24DCodes billed27
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,128 of 2,511
Median peer was paid$13K
This provider vs. median1.5×
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 | 3,703 | $8K | |
| 2019 | 3,273 | $2K | |
| 2022 | 121 | $312.22 | |
| 2023 | 578 | $2K | |
| 2024incomplete | 175 | $8K |
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 | 53% | 2,965 | 2,547 | $10K |
| 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 | 30% | 491 | 463 | $6K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 4.9% | 479 | 441 | $960.00 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 4.2% | 500 | 469 | $825.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.0% | 710 | 624 | $776.00 |
| 96127 | 2.0% | 54 | 54 | $390.81 | |
| 94760 | 1.4% | 374 | 339 | $274.15 | |
| 99406 | <1% | 52 | 50 | $38.84 | |
| 3008F | <1% | 1,322 | 1,142 | $33.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 61 | 60 | $20.22 |
| 99000 | <1% | 27 | 26 | $13.80 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 117 | 116 | $0.00 |
15 more codes
| 3725F | 0% | 98 | $0.00 | |
| 1160F | 0% | 74 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 14 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 31 | $0.00 |
| 1159F | 0% | 66 | $0.00 | |
| 3078F | 0% | 14 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 161 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 51 | $0.00 |
| 1036F | 0% | 13 | $0.00 | |
| 3351F | 0% | 76 | $0.00 | |
| 0545F | 0% | 13 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 13 | $0.00 |
| 3353F | 0% | 47 | $0.00 | |
| 3074F | 0% | 13 | $0.00 | |
| 88141 | 0% | 14 | $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 officialRUIZ-VILLALPANDO, OCTAVIO (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Perris Valley Physicians Associates, a Medical Corp. | Perris, CA | $267K |
| San Bernardino Physicians Associates, a Medical Corporation | San Bernardino, CA | $167K |
| Hesperia Clinica Medica Familiar a Medical Corporation | Hesperia, CA | $103K |
| Corona Physicians Associates, a Medical Corp | Corona, CA | $100K |
| A Tu Salud a Medical Corporation | Montclair, CA | $93K |
| Colton Clinica Medica Familiar a Medical Corporation | Colton, CA | $80K |
| Fontana Physicians Associates a Medical Corporation | Fontana, CA | $7K |
| All United Medical Group Ipa | Colton, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.