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NPI 1215191184 · La Quinta, CA · Family Medicine Physician
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Erica Ruiz is a family medicine physician provider located in La Quinta, California. This profile covers 27 Medicare and 73 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Erica Ruiz |
| Address | 47110 Washington St |
| City | La Quinta |
| State | CA |
| ZIP | 92253 |
| Taxonomy | Family Medicine Physician |
| NPI Enumerated | July 10, 2008 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $90.1K |
| Medicaid | $69.3K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 350 | $100 | $33.3K |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 70 | $140 | $9.4K |
| 99457 | The provider manages treatment using data from remote physiologic monitoring. The service requires at least one real–time interactive communication with the patient or caregiver during the month and… | 230 | $40 | $9.3K |
| 99497 | The provider discusses and shares planning with a patient, his family, or an individual representing the patient, regarding the future health care needs of the patient. Use this code for the first 30… | 80 | $70 | $6.1K |
| 99454 | The provider supplies one or more devices for remote physiologic monitoring that occurs for 16 to 30 days in a 30–day period. | 90 | $40 | $4K |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 20 | $170 | $3.7K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 30 | $120 | $3.2K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 10 | $150 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 80 | $30 | $2K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 30 | $70 | $1.9K |
Showing 1–10 of 27
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
27 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 95165 | 212 | 210 | 1,040 | $10 | $27.8K |
| 99214 | 8,066 | 37,970 | 120 | $90 | $23.2K |
| 99454 | 521 | 720 | 220 | $40 | $20.2K |
| 99457 | 400 | 760 | 240 | $40 | $20.1K |
| 99458 | 437 | 510 | 220 | $30 | $17.1K |
| 99215 | 10,813 | 15,360 | 50 | $130 | $14.4K |
| 99213 | 27,431 | 34,660 | 80 | $70 | $13.2K |
| G0439 | 3,337 | 7,800 | 60 | $130 | $11.9K |
| 99497 | 907 | 2,560 | 50 | $70 | $8K |
| 99205 | 6,953 | 8,360 | 30 | $170 | $7.2K |
Showing 1–10 of 27
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
73 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 2,210 | $20 | $35.4K |
| 92552 | The provider assesses a patient’s hearing with a series of tones at varying intensities to identify the lowest threshold at which the patient can hear. | 1,630 | $20 | $24.4K |
| 93000 | The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to… | 140 | $20 | $3K |
| 94060 | The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is… | 80 | $30 | $2.2K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 800 | $1 | $800 |
| 99386 | The provider performs a well–patient visit for a patient who is between the ages of 40 and 64. | 510 | $1 | $510 |
| 90686 | This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL… | 20 | $20 | $400 |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 320 | $1 | $320 |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 170 | $1 | $170 |
| 97802 | The provider treats medical conditions and related symptoms using specific diet therapy by interacting individually with the patient. This code represents each 15 minutes of the first visit with the… | 10 | $10 | $100 |
Showing 1–10 of 73
How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. California median
73 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 3,302 | 13,300 | 640 | $40 | $169.6K |
| 80053 | The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel. | 1,263 | 1,720 | 1,360 | $10 | $165.3K |
| 99215 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the… | 2,278 | 4,230 | 210 | $110 | $135K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 13,219 | 14,520 | 760 | $10 | $122.8K |
| 85025 | A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a… | 1,542 | 2,100 | 1,130 | $1 | $83.5K |
| 84443 | The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the… | 912 | 1,360 | 590 | $10 | $74.1K |
| 99204 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider… | 1,438 | 5,870 | 180 | $70 | $73K |
| 82306 | The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced… | 856 | 1,110 | 300 | $10 | $70.2K |
| 99205 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider… | 573 | 1,980 | 110 | $160 | $66.3K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 3,592 | 5,590 | 180 | $50 | $62.4K |
Showing 1–10 of 73
Other providers in the same ZIP code as Erica Ruiz, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Bryce Jolley | CA | Foot & Ankle Surgery Podiatrist | $172.6K | $0 |
| Edward Ruiz | CA | Family Medicine Physician | $120.6K | $28.3K |
| Karen Donley | CA | Obstetrics & Gynecology Physician | $88.1K | $0 |
| Toni Long | CA | Obstetrics & Gynecology Physician | $62.2K | $0 |
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