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Jessie Yesenia Caldera, CP

Clinical Psychologist · San Bernardino

NPI 1497005706

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
Since medical school
12 years
Graduated 2014

Offices

1 location · Evolving Pathways Psychology Corporation · 9 clinicians in this group

Looking this up.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Jessie Yesenia Caldera’s office at (424) 212-3212 to ask if they take your plan before you enroll.

Original Medicare doctor bills

$282,781

Medicare paid this office $282,781 for 696 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Psychotherapy, 30 minutes385$113,865$65
Psychiatric diagnostic evaluation517$76,983$142
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional605$49,723$47
Psychotherapy, 45 minutes151$26,571$85
Psychiatric services complicated by communication factor380$12,767$12
See all 6 services
Every Original Medicare service billed
Psychotherapy, 30 minutes385$113,865$65
Psychiatric diagnostic evaluation517$76,983$142
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional605$49,723$47
Psychotherapy, 45 minutes151$26,571$85
Psychiatric services complicated by communication factor380$12,767$12
Psychotherapy, 1 hour15$1,906$127

Who their Medicare patients are

696 Original Medicare patients in 2024. Average age 78 · Under 65 9% · 85 and older 29% · Women 56% · Also on Medicaid 88% · Health risk score 2.97. Sicker patients than 9 in 10 peers; the typical psychologist, clinical clinician is at 1.25.

Conditions among them: High blood pressure 75% · Dementia 65% · Depression 63% · Diabetes 62% · Chronic kidney disease 51% · Heart failure 45% · Coronary heart disease 44% · COPD 40% · Atrial fibrillation 30% · Stroke 24% · Cancer 12%.

The office billed $425,335, Medicare allowed $357,361 and paid $282,781; for 4,757 services of 10 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

Original Medicare by year
20246964,757782.97$425,335$282,781
20236464,145772.88$601,450$246,657
20222982,496793.11$384,675$162,672
20213073,132763.27$589,902$185,390
20203024,294743.43$740,067$186,177
20192413,206753.71$512,050$156,166
20181733,769783.06$433,111$157,929

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

Original Medicare services billed in 2023
Psychotherapy, 30 minutes390$117,032$61
Psychiatric diagnostic evaluation489$70,425$141
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional463$24,329$37
Psychotherapy, 45 minutes119$19,173$81
Psychiatric services complicated by communication factor333$9,668$12
Psychotherapy, 1 hour45$6,031$123

2022: 6 services

Original Medicare services billed in 2022
Psychotherapy, 30 minutes210$80,785$65
Psychiatric diagnostic evaluation251$34,229$135
Psychotherapy, 45 minutes124$32,855$85
Psychiatric services complicated by communication factor161$5,670$12
Psychotherapy, 1 hour37$5,526$118
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional73$3,460$38

2021: 15 services

Original Medicare services billed in 2021
Psychotherapy, 45 minutes93$34,327$82
Psychiatric diagnostic evaluation175$26,890$152
Psychotherapy, 30 minutes111$24,311$62
Psychotherapy, 45 minutes56$16,047$75
Psychotherapy, 30 minutes72$14,905$57
Psychotherapy, 1 hour15$13,439$129
Evaluation of psychological test, each additional hour73$12,213$64
Evaluation of psychological test, first hour75$8,913$91
Evaluation of psychological test, each additional hour43$7,418$64
Evaluation of psychological test, first hour45$5,797$95
Psychiatric diagnostic evaluation39$5,005$128
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional90$4,752$26
Psychiatric services complicated by communication factor127$4,560$11
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional67$3,897$31
Psychiatric services complicated by communication factor78$2,916$9

2020: 20 services

Original Medicare services billed in 2020
Psychotherapy, 30 minutes150$31,454$50
Psychotherapy, 45 minutes92$25,567$71
Psychotherapy, 30 minutes124$25,251$53
Psychotherapy, 45 minutes93$22,760$67
Psychiatric diagnostic evaluation123$11,678$93
Psychiatric diagnostic evaluation81$8,974$109
Evaluation of psychological test, first hour73$8,806$95
Psychiatric services complicated by communication factor139$8,152$11
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional125$7,995$28
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional127$6,985$28
Psychiatric services complicated by communication factor146$6,070$10
Evaluation of psychological test, first hour52$5,146$94
Evaluation of psychological test, each additional hour34$4,604$64
Evaluation of psychological test, each additional hour34$4,554$64
Evaluation of neuropsychological test, each additional hour11$2,486$86
Evaluation of neuropsychological test, first hour11$1,261$115
Exam of neurobehavioral status, each additional hour11$1,156$72
Exam of neurobehavioral status, first hour11$1,090$84
Administration of psychological or neuropsychological test, first 30 minutes11$425$39
Administration of psychological or neuropsychological test, each additional 30 minutes11$386$35

2019: 8 services

Original Medicare services billed in 2019
Psychotherapy, 30 minutes112$56,277$51
Psychotherapy, 30 minutes55$31,924$55
Psychotherapy, 45 minutes69$22,887$68
Psychiatric diagnostic evaluation138$16,834$100
Psychotherapy, 45 minutes32$10,297$75
Psychiatric diagnostic evaluation62$8,158$117
Psychiatric services complicated by communication factor100$5,863$11
Psychiatric services complicated by communication factor51$3,541$12

2018: 8 services

Original Medicare services billed in 2018
Psychotherapy, 30 minutes126$75,630$54
Psychotherapy, 45 minutes78$25,227$71
Psychiatric diagnostic evaluation142$15,706$109
Psychotherapy, 30 minutes62$14,610$53
Psychiatric services complicated by communication factor149$14,232$12
Psychotherapy, 45 minutes39$6,375$70
Psychiatric services complicated by communication factor56$3,105$12
Psychiatric diagnostic evaluation22$2,325$106

Medicaid work

$6,196 in 2024

Medicaid paid $6,196 for 458 billed services this clinician did in 2024, up to 23 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.

Largest Medicaid services in 2024
PSYCHOTHERAPY W/PATIENT 30 MINUTES259$4,761
PSYCH DIAGNOSTIC EVALUATION43$983
Interactive complexity156$452
Medicaid work by year
2024458323$6,196
2023106424$515
2021455621$10,159
20201,186732$16,244
2019191347$6,438
2018127321$313
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.32$293
PSYCH DIAGNOSTIC EVALUATION21$127
PSYCHOTHERAPY W/PATIENT 30 MINUTES34$79
Interactive complexity19$16

2021

Largest Medicaid services in 2021
Psychotherapy, 45 minutes with patient173$6,085
PSYCHOTHERAPY W/PATIENT 30 MINUTES155$3,476
Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour (List separately in addition to code for primary procedure)30$343
Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour30$246
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.17$7
Interactive complexity50$2

2020

Largest Medicaid services in 2020
PSYCHOTHERAPY W/PATIENT 30 MINUTES402$7,406
Psychotherapy, 45 minutes with patient249$7,279
PSYCH DIAGNOSTIC EVALUATION43$1,493
Interactive complexity338$29
Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; each additional hour (List separately in addition to code for primary procedure)12$24
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team.130$7
Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and report, and interactive feedback to the patient, family member(s) or caregiver(s), when performed; first hour12$6

2019

Largest Medicaid services in 2019
PSYCHOTHERAPY W/PATIENT 30 MINUTES107$3,228
PSYCH DIAGNOSTIC EVALUATION63$2,146
Psychotherapy, 45 minutes with patient21$1,064

2018

Largest Medicaid services in 2018
PSYCH DIAGNOSTIC EVALUATION33$232
PSYCHOTHERAPY W/PATIENT 30 MINUTES35$81
Interactive complexity59$0

Checkups this office reported

6 measures · 2023

Medicare asked this office to report how often certain checkups happened in 2023. This is not a grade for the doctor. A specialist’s patients may not need every screening.

Medicare’s overall office score
100.0 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.
Checkup rates this office reported to Medicare
Advance care plan on fileOlder patients with an advance care plan or a documented conversation about one100%That's most of the people this applied to.435
Asked about alcoholPatients screened for unhealthy alcohol use, with counseling if needed100%That's most of the people this applied to.295
Asked about smokingPatients asked about tobacco, with help to quit if they smoke100%That's most of the people this applied to.295
Depression screeningPatients screened for depression, with a follow-up plan if needed100%That's most of the people this applied to.116
Medications listed in the chartVisits where the current medication list was documented100%That's most of the people this applied to.2,230
Screened for elder abuseOlder patients screened for elder maltreatment100%That's most of the people this applied to.485

What the office says it does

Boxes the office ticked on its Medicare worksheet for 2023. Nobody checks these.

  • Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record

Professional record

NPI
1497005706
Licence
CA PSY3008
Gender
Female
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 103TC0700X (103TC0700X)
Mailing address
2447 Pacific Coast Hwy Ste 210, Hermosa Beach, CA, 90254
NPI first listed
2012-09-13
NPI last updated
2025-01-09
NPI record certified
2025-01-09

This is when the NPI record was last certified, not a medical board exam.