Physician
Fernandez, Thelma
Fernandez, Thelma was paid $21K by Medicaid between Jan 2018 and Dec 2019, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 20% of everything it billed.
33Billing provider infoFERNANDEZ, THELMA
LANCASTER, CA 93534
LANCASTER, CA 93534
33aNPI1861505158assigned 08/17/2006
33bProvider typeFamily Medicine Physician
28Total paid$21K
24GClaims12,032
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#1,105 of 2,511
Median peer was paid$13K
This provider vs. median1.6×
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 | 5,176 | $4K | |
| 2019 | 6,856 | $17K |
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 | 20% | 1,220 | 1,201 | $4K |
| 3008F | 15% | 1,414 | 1,403 | $3K | |
| 3074F | 8.9% | 855 | 849 | $2K | |
| 3078F | 8.1% | 822 | 817 | $2K | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 7.6% | 431 | 431 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.8% | 86 | 86 | $1K |
| 3725F | 4.8% | 917 | 915 | $1K | |
| 1126F | 4.7% | 913 | 911 | $997.50 | |
| 1170F | 4.7% | 920 | 917 | $987.50 | |
| 3079F | 4.5% | 429 | 427 | $951.00 | |
| 1160F | 3.1% | 646 | 646 | $654.50 | |
| G0123 | Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision | 3.0% | 72 | 72 | $639.00 |
13 more codes
| 1159F | 3.0% | 651 | $638.00 | |
| 3077F | 2.4% | 253 | $510.00 | |
| 3075F | 2.3% | 214 | $494.00 | |
| 93000 | <1% | 319 | $170.46 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 63 | $144.74 |
| 3080F | <1% | 59 | $113.00 | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 622 | $96.52 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 154 | $0.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 0% | 449 | $0.00 |
| 82044 | 0% | 226 | $0.00 | |
| 97802 | 0% | 43 | $0.00 | |
| 82270 | 0% | 226 | $0.00 | |
| 90682 | 0% | 28 | $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.