Physician
Pastrana, Theodore
Pastrana, Theodore was paid $285K by Medicaid between Jan 2018 and Nov 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPASTRANA, THEODORE
LA HABRA, CA 90631
LA HABRA, CA 90631
33aNPI1992747653assigned 06/10/2006
33bProvider typeFamily Medicine Physician
28Total paid$285K
24GClaims11,829
24DCodes billed29
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#361 of 2,511
Median peer was paid$13K
This provider vs. median22×
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 | 2,235 | $57K | |
| 2019 | 3,228 | $93K | |
| 2020 | 1,288 | $34K | |
| 2021 | 1,221 | $29K | |
| 2022 | 1,356 | $33K | |
| 2023 | 1,358 | $22K | |
| 2024incomplete | 1,143 | $15K |
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 | 36% | 4,333 | 3,628 | $104K |
| 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 | 25% | 1,646 | 1,306 | $71K |
| 96156 | 13% | 862 | 838 | $37K | |
| 92499 | 3.7% | 605 | 587 | $11K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.7% | 193 | 113 | $10K |
| 90682 | 3.3% | 167 | 166 | $9K | |
| 92551 | 2.4% | 597 | 583 | $7K | |
| 90686 | 2.4% | 467 | 465 | $7K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 2.1% | 329 | 325 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 327 | 278 | $6K |
| 96151 | 1.9% | 251 | 241 | $5K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 19 | 12 | $2K |
17 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $2K |
| 96150 | <1% | 63 | $1K | |
| 85018 | <1% | 578 | $1K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 29 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $991.49 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 14 | $822.84 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 82 | $671.68 |
| 81002 | <1% | 327 | $589.56 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 37 | $380.93 |
| H0049 | Alcohol and/or drug screening | <1% | 14 | $216.00 |
| S9470 | Nutritional counseling, dietitian visit | <1% | 12 | $200.88 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 56 | $100.63 |
| 3074F | 0% | 397 | $0.00 | |
| 3079F | 0% | 14 | $0.00 | |
| 3078F | 0% | 322 | $0.00 | |
| 99072 | 0% | 50 | $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.