Dominguez, Emil

Dominguez, Emil was paid $2K by Medicaid between Jan 2018 and Apr 2018, across 8 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 45% of everything it billed.

33Billing provider infoDOMINGUEZ, EMIL
WEST COVINA, CA 91790

33aNPI1992867766assigned 12/15/2006

33bProvider typePediatrics Physician

28Total paid$2K

24GClaims744

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2018

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#1,042 of 1,490

Median peer was paid$15K

This provider vs. median0.1×

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	744	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	45%	61	61	$694.56
92552		37%	107	107	$575.70
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	18%	14	14	$271.40
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	0%	341	301	$0.00
90656		0%	28	28	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	87	87	$0.00
99173		0%	79	79	$0.00
90472	Immunization administration, each additional vaccine (list separately)	0%	27	27	$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.