JOSE CUCALON CALDERON, M.D.
745 W MOANA LN STE 260, RENO, NV 89509
NPI Number
1871872465
Practice location · View on Google Maps
Total Medicaid Payments
$110,731
-86% vs specialty average
Patients Seen
1,396
Total Claims
1,525
$ Per Patient
$79
Specialty avg: $37
Specialty Rank
#142 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.1
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $110,731 | |
| 2021 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 99213 | Office visit for a simple problem (established patient) | 809 | $51,825 | 46.8% | $64 |
| 99391 | Wellness checkup — infant (under 1 year) | 303 | $29,050 | 26.2% | $96 |
| 99381 | Wellness checkup — new patient, infant (under 1 year) | 211 | $16,756 | 15.1% | $79 |
| 99392 | Wellness checkup — ages 1-4 | 76 | $7,831 | 7.1% | $103 |
| 99461 | Newborn baby care — additional day in the hospital | 24 | $2,221 | 2.0% | $93 |
| 99203 | New patient office visit — moderate problem | 19 | $1,697 | 1.5% | $89 |
| 99393 | Wellness checkup — ages 5-11 | 13 | $1,353 | 1.2% | $104 |
| 97530 | Therapeutic activities — exercises and tasks to improve daily function | 70 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.