Santa Cruz, Fidel

Santa Cruz, Fidel was paid $54K by Medicaid between Jan 2018 and Jun 2021, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoSANTA CRUZ, FIDEL
HUNTINGTON PARK, CA 90255

33aNPI1972672053assigned 11/06/2006

33bProvider typeNeurology Physician

28Total paid$54K

24GClaims812

24DCodes billed5

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other Neurology Physician providers in California

Rank by total paid#146 of 296

Median peer was paid$50K

This provider vs. median1.1×

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	493	$34K
2019	292	$18K
2020	13	$456.26
2021	14	$1K

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	40%	536	529	$22K
95886		22%	61	61	$12K
95913		21%	60	60	$11K
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	13%	128	128	$7K
95819		4.4%	27	27	$2K

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.