KIDS DOC OF SOUTHERN CALIFORNIA MEDICAL GROUP, INC.
NPI: 1013966670
· MISSION VIEJO, CA 92691
· Pediatrics Physician
· NPI assigned 05/09/2006
$197K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: WILKINSON, MARY ANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,411 |
$84K |
| 2019 |
1,282 |
$77K |
| 2020 |
566 |
$34K |
| 2021 |
36 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,527 |
1,472 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
719 |
692 |
$43K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
641 |
638 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
395 |
395 |
$24K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$240.00 |