Physician
Pediatric Affiliates Medical Group INC
Pediatric Affiliates Medical Group INC was paid $7K by Medicaid between Jan 2018 and Feb 2022, across 25 billing codes. Its largest line is 96156, — 24% of everything it billed.
33Billing provider infoPEDIATRIC AFFILIATES MEDICAL GROUP INC
WEST HILLS, CA 91307
WEST HILLS, CA 91307
33aNPI1053410506assigned 09/21/2006
33bProvider typePediatrics Physician
28Total paid$7K
24GClaims13,072
24DCodes billed25
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#850 of 1,490
Median peer was paid$15K
This provider vs. median0.5×
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 | 2,435 | $2K | |
| 2019 | 5,068 | $1K | |
| 2020 | 3,785 | $4K | |
| 2021 | 1,694 | $0.00 | |
| 2022 | 90 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 24% | 722 | 710 | $2K | |
| 97802 | 21% | 1,025 | 1,015 | $1K | |
| 92552 | 21% | 1,254 | 1,252 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.8% | 209 | 207 | $600.77 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 3,768 | 3,477 | $513.26 |
| 90686 | 6.8% | 396 | 396 | $469.75 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 12 | 12 | $444.24 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.6% | 587 | 283 | $110.40 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,484 | 1,131 | $63.02 |
| 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 | <1% | 1,256 | 1,165 | $45.00 |
| 96150 | <1% | 65 | 65 | $18.03 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 107 | 107 | $18.00 |
13 more codes
| 99173 | <1% | 1,149 | $6.91 | |
| 81000 | <1% | 30 | $2.58 | |
| 99441 | 0% | 93 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 30 | $0.00 |
| 96127 | 0% | 395 | $0.00 | |
| 96151 | 0% | 82 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 30 | $0.00 |
| 90674 | 0% | 37 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 163 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 39 | $0.00 |
| 97803 | 0% | 53 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 27 | $0.00 |
| 99072 | 0% | 59 | $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 officialHANKINS, PAMELA (OFFICE MANAGER)