Physician
Valley Pediatrics Medical Group
Valley Pediatrics Medical Group was paid $673K by Medicaid between Jan 2018 and Dec 2024, across 45 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 16% of everything it billed.
33Billing provider infoVALLEY PEDIATRICS MEDICAL GROUP
MISSION HILLS, CA 91345
MISSION HILLS, CA 91345
33aNPI1043423460assigned 05/08/2007
33bProvider typePediatrics Physician
28Total paid$673K
24GClaims90,366
24DCodes billed45
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#178 of 1,490
Median peer was paid$15K
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 | 10,637 | $81K | |
| 2019 | 13,641 | $93K | |
| 2020 | 13,915 | $89K | |
| 2021 | 15,408 | $100K | |
| 2022 | 15,471 | $105K | |
| 2023 | 15,169 | $109K | |
| 2024incomplete | 6,125 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 4,272 | 4,268 | $106K |
| G9920 | Screening performed and negative | 15% | 6,399 | 6,381 | $98K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 13% | 2,395 | 2,394 | $87K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 3,718 | 3,688 | $84K |
| 92551 | 8.1% | 9,701 | 9,681 | $55K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 1,214 | 1,183 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 6,006 | 5,558 | $30K |
| 97802 | 3.7% | 6,151 | 6,147 | $25K | |
| 90700 | 2.7% | 3,428 | 3,266 | $18K | |
| 90670 | 2.3% | 1,820 | 1,685 | $15K | |
| 90688 | 2.1% | 3,180 | 3,147 | $14K | |
| 92081 | 2.1% | 7,842 | 7,823 | $14K |
33 more codes
| 90713 | 2.0% | 2,246 | $14K | |
| 90648 | 1.8% | 2,056 | $12K | |
| 90680 | 1.5% | 605 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 166 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.1% | 1,614 | $7K |
| 90651 | <1% | 707 | $6K | |
| 90716 | <1% | 677 | $5K | |
| 90707 | <1% | 679 | $5K | |
| 90633 | <1% | 595 | $4K | |
| 90685 | <1% | 604 | $4K | |
| 90715 | <1% | 296 | $2K | |
| 90734 | <1% | 197 | $1K | |
| 90619 | <1% | 239 | $1K | |
| 90671 | <1% | 183 | $1K | |
| 90744 | <1% | 149 | $1K | |
| 0002A | <1% | 127 | $1K | |
| 99381 | <1% | 15 | $968.44 | |
| 0001A | <1% | 105 | $869.60 | |
| 90660 | <1% | 136 | $719.28 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $705.64 |
| 90621 | <1% | 41 | $369.00 | |
| 90658 | <1% | 34 | $297.00 | |
| 90686 | <1% | 65 | $288.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,488 | $259.73 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 66 | $137.79 |
| 86580 | <1% | 14 | $43.29 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 6,221 | $27.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,646 | $21.18 |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 1,452 | $0.00 |
| 99173 | 0% | 243 | $0.00 | |
| 90473 | 0% | 88 | $0.00 | |
| 90474 | 0% | 353 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 120 | $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 officialSANGHVI, MANISHA (PHYSICIAN)