Carol Conceicao, MD
Emergency Medicine · Loma Linda
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Office
- 1
Offices
1 location
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Conceicao’s office at (909) 558-4000 to ask if they take your plan before you enroll.
California Medical Board record
Licence A157475 · Current
Licensed to practise in California · since 2018 · expires 2028-07-31 · Loma Linda University School of Medicine.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Original Medicare doctor bills
$33,265
Medicare paid this office $33,265 for 243 people.
This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.
| Emergency department visit with high level of medical decision making | 136 | $18,689 | $137 |
| Critical care, first 30-74 minutes | 43 | $7,757 | $169 |
| Emergency department visit with moderate level of medical decision making | 28 | $2,428 | $87 |
| Long return visit (40+ min) | 13 | $1,499 | $115 |
| Return visit (30+ min) | 18 | $1,300 | $72 |
See all 6 services
| Emergency department visit with high level of medical decision making | 136 | $18,689 | $137 |
| Critical care, first 30-74 minutes | 43 | $7,757 | $169 |
| Emergency department visit with moderate level of medical decision making | 28 | $2,428 | $87 |
| Long return visit (40+ min) | 13 | $1,499 | $115 |
| Return visit (30+ min) | 18 | $1,300 | $72 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 92 | $622 | $6 |
Who their Medicare patients are
243 Original Medicare patients in 2024. Average age 71 · Under 65 21% · 85 and older 14% · Women 52% · Also on Medicaid 59% · Health risk score 2.48. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.
Conditions among them: High blood pressure 75% · Diabetes 53% · Heart failure 44% · Chronic kidney disease 42% · Coronary heart disease 40% · Depression 30% · Atrial fibrillation 28% · COPD 26% · Stroke 25% · Dementia 17% · Cancer 13%.
The office billed $156,138, Medicare allowed $42,315 and paid $33,265; for 359 services of 18 kinds.
Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.
Year by year
| 2024 | 243 | 359 | 71 | 2.48 | $156,138 | $33,265 |
| 2023 | 319 | 446 | 71 | 2.82 | $169,519 | $42,816 |
| 2022 | 95 | 137 | 71 | 2.27 | $59,117 | $12,480 |
| 2021 | 33 | 38 | 78 | 1.51 | $28,227 | $4,353 |
Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.
See the services billed each year
2023: 6 services
| Emergency department visit with high level of medical decision making | 172 | $23,929 | $138 |
| Critical care, first 30-74 minutes | 47 | $8,095 | $172 |
| Emergency department visit with moderate level of medical decision making | 52 | $4,987 | $96 |
| Return visit (30+ min) | 24 | $1,818 | $76 |
| Long return visit (40+ min) | 15 | $1,742 | $116 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 98 | $711 | $7 |
2022: 3 services
| Emergency department visit with high level of medical decision making | 54 | $7,630 | $139 |
| Emergency department visit with moderate level of medical decision making | 16 | $1,350 | $84 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 28 | $202 | $7 |
2021: 1 service
| Emergency department visit with high level of medical decision making | 21 | $2,913 | $139 |
Medicaid work
$44,296 in 2024
Medicaid paid $44,296 for 449 billed services this clinician did in 2024, up to 61 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 248 | $35,928 |
| EMERGENCY DEPT VISIT MOD MDM | 29 | $3,305 |
| Return visit (30+ min) | 51 | $2,283 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 12 | $1,838 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 109 | $942 |
| 2024 | 449 | 5 | 61 | $44,296 |
| 2023 | 1,101 | 6 | 55 | $111,727 |
| 2022 | 213 | 5 | 37 | $17,331 |
| 2021 | 15 | 1 | 15 | $1,575 |
See the largest Medicaid services in earlier years
2023
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 526 | $75,740 |
| EMERGENCY DEPT VISIT MOD MDM | 235 | $23,701 |
| Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 44 | $7,001 |
| Return visit (30+ min) | 71 | $3,178 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 213 | $1,651 |
| Service | 12 | $456 |
2022
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 82 | $11,285 |
| EMERGENCY DEPT VISIT MOD MDM | 25 | $2,824 |
| Return visit (30+ min) | 41 | $1,721 |
| Long return visit (40+ min) | 14 | $1,100 |
| Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 51 | $401 |
2021
| EMERGENCY DEPARTMENT VISIT HIGH MDM | 15 | $1,575 |
Drugs they prescribed that Part D paid
$3,646
Pharmacies billed $3,646 in 2024.
This is pharmacy cost, not the office bill, and not what patients paid.
125 generic and fewer than 11 brand-name prescriptions · $3,646 in drug cost · 34 antibiotic prescriptions to 30 people.
Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.
| Ibuprofen | 11 | $39 | $4 |
Year by year
| 2024 | 134 | 82 | None | None | $3,646 |
| 2023 | 169 | 113 | None | None | $7,090 |
| 2022 | 45 | 35 | None | None | $1,258 |
| 2021 | 23 | 18 | None | None | $279 |
| 2020 | 42 | 35 | None | None | $1,441 |
| 2019 | 29 | 23 | None | None | $1,734 |
Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.
See the drugs prescribed each year
2023: 2 drugs
| Doxycycline Hyclate | 14 | $166 | $12 |
| Cephalexin | 14 | $119 | $9 |
Professional record
- NPI
- 1033644885
- Licence
- CA A157475, MN 69434California A157475: Current · expires 2028-07-31
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 207P00000X (207P00000X); Student in a training program (390200000X)
- Mailing address
- 11234 Anderson St # Mca890, Loma Linda, CA, 92354
- NPI first listed
- 2017-04-28
- NPI last updated
- 2023-12-08
- NPI record certified
- 2023-12-08
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 900 Welch Rd Ste 350, Palo Alto, CA, 94304