Physician
Children's Medical Group, LTD
Children's Medical Group, LTD was paid $7.43M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP, LTD
GLENDALE, AZ 85306
GLENDALE, AZ 85306
33aNPI1003096801assigned 11/08/2007
33bProvider typePediatrics Physician
28Total paid$7.43M
24GClaims185,049
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#10 of 235
Median peer was paid$164K
This provider vs. median45×
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 | 33,433 | $1.12M | |
| 2019 | 31,593 | $1.08M | |
| 2020 | 30,366 | $966K | |
| 2021 | 25,629 | $1.07M | |
| 2022 | 25,381 | $1.23M | |
| 2023 | 22,321 | $1.10M | |
| 2024incomplete | 16,326 | $874K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 40,338 | 37,033 | $2.13M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 20% | 20,160 | 19,079 | $1.52M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 11,719 | 10,795 | $889K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 22,043 | 21,695 | $884K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 9,403 | 9,322 | $758K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 6,877 | 6,833 | $553K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 2,884 | 2,858 | $252K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.5% | 11,299 | 10,604 | $110K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 6,673 | 6,391 | $88K |
| 99381 | <1% | 500 | 498 | $43K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,159 | 2,136 | $36K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,028 | 1,992 | $31K |
41 more codes
| 81002 | <1% | 9,799 | $29K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,516 | $21K |
| 99460 | <1% | 286 | $19K | |
| 86580 | <1% | 2,342 | $16K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 277 | $15K |
| 99354 | <1% | 176 | $10K | |
| 0071A | <1% | 94 | $8K | |
| 0072A | <1% | 89 | $7K | |
| 96127 | <1% | 535 | $2K | |
| 92567 | <1% | 163 | $2K | |
| 99383 | <1% | 16 | $1K | |
| 99462 | <1% | 37 | $1K | |
| 69210 | <1% | 27 | $1K | |
| 90473 | <1% | 42 | $723.67 | |
| 90671 | <1% | 853 | $463.10 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $424.83 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 28 | $403.29 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $227.76 |
| 92551 | <1% | 16 | $153.39 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 26 | $34.90 |
| 90672 | 0% | 147 | $0.00 | |
| 90685 | 0% | 465 | $0.00 | |
| 90670 | 0% | 6,991 | $0.00 | |
| 90633 | 0% | 2,903 | $0.00 | |
| 90715 | 0% | 154 | $0.00 | |
| 90734 | 0% | 384 | $0.00 | |
| 90707 | 0% | 379 | $0.00 | |
| 90710 | 0% | 207 | $0.00 | |
| 90687 | 0% | 13 | $0.00 | |
| 90680 | 0% | 5,232 | $0.00 | |
| 90686 | 0% | 5,525 | $0.00 | |
| 90698 | 0% | 5,466 | $0.00 | |
| 90651 | 0% | 737 | $0.00 | |
| 90744 | 0% | 2,323 | $0.00 | |
| 90697 | 0% | 790 | $0.00 | |
| 90688 | 0% | 124 | $0.00 | |
| 90716 | 0% | 406 | $0.00 | |
| 90677 | 0% | 15 | $0.00 | |
| 90620 | 0% | 137 | $0.00 | |
| 90696 | 0% | 174 | $0.00 | |
| 91307 | 0% | 44 | $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.
From NPPES
Who's on the registration
Authorized officialLARDIZABAL, AGNES (PHYSICIAN/PRESIDENT)