Physician
Cucalon Calderon, Jose
Cucalon Calderon, Jose was paid $111K by Medicaid between Jan 2018 and May 2021, across 8 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCUCALON CALDERON, JOSE
RENO, NV 89509
RENO, NV 89509
33aNPI1871872465assigned 08/12/2011
33bProvider typePediatrics Physician
28Total paid$111K
24GClaims1,525
24DCodes billed8
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Pediatrics Physician providers in Nevada
Rank by total paid#139 of 267
Median peer was paid$116K
This provider vs. median1.0×
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 | 1,455 | $111K | |
| 2021 | 70 | $0.00 |
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 | 47% | 809 | 740 | $52K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 303 | 300 | $29K |
| 99381 | 15% | 211 | 186 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 76 | 76 | $8K |
| 99461 | 2.0% | 24 | 23 | $2K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.5% | 19 | 16 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 13 | 13 | $1K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 0% | 70 | 42 | $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.