Physician
Zapanta, Don Victor
Zapanta, Don Victor was paid $904K by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoZAPANTA, DON VICTOR
DELANO, CA 93215
DELANO, CA 93215
33aNPI1891872149assigned 11/01/2006
33bProvider typeFamily Medicine Physician
28Total paid$904K
24GClaims38,131
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#180 of 2,511
Median peer was paid$13K
This provider vs. median70×
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 | 9,454 | $201K | |
| 2019 | 10,229 | $226K | |
| 2020 | 5,886 | $137K | |
| 2021 | 4,786 | $112K | |
| 2022 | 4,021 | $95K | |
| 2023 | 1,883 | $48K | |
| 2024incomplete | 1,872 | $85K |
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 | 50% | 11,993 | 9,133 | $452K |
| 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% | 5,391 | 4,365 | $180K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 644 | 637 | $41K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 731 | 726 | $39K |
| 92551 | 3.2% | 2,379 | 2,372 | $29K | |
| G9920 | Screening performed and negative | 3.1% | 794 | 793 | $28K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 409 | 406 | $18K |
| 90658 | 2.0% | 1,663 | 1,646 | $18K | |
| 92552 | 1.4% | 1,235 | 1,229 | $13K | |
| 99173 | 1.4% | 3,229 | 3,217 | $13K | |
| 86580 | 1.4% | 2,860 | 2,843 | $12K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 139 | 139 | $12K |
24 more codes
| 99204 | Doctor's office visit, new patient (more involved) | 1.1% | 95 | $10K |
| 85013 | <1% | 2,873 | $7K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 64 | $7K |
| 90649 | <1% | 296 | $3K | |
| 90700 | <1% | 262 | $3K | |
| 92081 | <1% | 222 | $3K | |
| 81005 | <1% | 1,710 | $3K | |
| 90657 | <1% | 188 | $2K | |
| 90713 | <1% | 178 | $2K | |
| 90620 | <1% | 108 | $2K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 28 | $1K |
| 90670 | <1% | 126 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 26 | $1K |
| 81003 | <1% | 119 | $1K | |
| 90734 | <1% | 88 | $858.25 | |
| 90648 | <1% | 55 | $812.52 | |
| 90644 | <1% | 39 | $427.50 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 63 | $306.13 |
| 90707 | <1% | 27 | $270.00 | |
| 90744 | <1% | 14 | $191.16 | |
| 90716 | <1% | 15 | $157.50 | |
| 90680 | <1% | 13 | $90.00 | |
| 3078F | 0% | 43 | $0.00 | |
| 3077F | 0% | 12 | $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.