Physician
Sacramento Pediatrics Medical Group
Sacramento Pediatrics Medical Group was paid $196K by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is G9920, Screening performed and negative — 18% of everything it billed.
33Billing provider infoSACRAMENTO PEDIATRICS MEDICAL GROUP
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1063803203assigned 02/10/2015
33bProvider typePediatrics Physician
28Total paid$196K
24GClaims91,015
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#364 of 1,490
Median peer was paid$15K
This provider vs. median13×
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 | 23,876 | $106K | |
| 2019 | 37,072 | $6K | |
| 2020 | 23,167 | $16K | |
| 2021 | 1,458 | $27K | |
| 2022 | 202 | $7K | |
| 2023 | 473 | $6K | |
| 2024incomplete | 4,767 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9920 | Screening performed and negative | 18% | 2,701 | 2,694 | $36K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 1,651 | 1,641 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 2,117 | 2,114 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,205 | 2,196 | $21K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 8.0% | 8,587 | 8,507 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 872 | 868 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 5,089 | 4,674 | $9K |
| 97802 | 2.8% | 7,724 | 7,694 | $6K | |
| 92551 | 2.0% | 4,836 | 4,817 | $4K | |
| 85018 | 1.9% | 6,904 | 6,844 | $4K | |
| 90686 | 1.6% | 3,904 | 3,891 | $3K | |
| 99401 | 1.6% | 8,259 | 8,223 | $3K |
40 more codes
| 0071A | 1.6% | 76 | $3K | |
| D0120 | Dental checkup, returning patient | 1.2% | 8,227 | $2K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.2% | 5,653 | $2K |
| 81002 | 1.2% | 4,511 | $2K | |
| 0072A | 1.1% | 56 | $2K | |
| 99173 | <1% | 4,876 | $2K | |
| 97803 | <1% | 685 | $2K | |
| 86580 | <1% | 1,805 | $1K | |
| 99188 | <1% | 2,209 | $1K | |
| 90651 | <1% | 1,128 | $1K | |
| 99381 | <1% | 14 | $960.00 | |
| 90670 | <1% | 888 | $868.72 | |
| 90620 | <1% | 432 | $815.70 | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 43 | $810.00 |
| 90648 | <1% | 901 | $807.55 | |
| 90633 | <1% | 626 | $659.78 | |
| 99383 | <1% | 27 | $656.40 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 203 | $638.00 |
| 90723 | <1% | 606 | $575.58 | |
| 90734 | <1% | 575 | $550.56 | |
| 90671 | <1% | 98 | $342.00 | |
| 90697 | <1% | 74 | $325.00 | |
| 90710 | <1% | 233 | $286.66 | |
| 90680 | <1% | 403 | $278.86 | |
| 90685 | <1% | 56 | $237.83 | |
| 96127 | <1% | 180 | $236.46 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 39 | $230.00 |
| 90715 | <1% | 131 | $169.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 95 | $150.00 |
| 90700 | <1% | 137 | $87.01 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 399 | $77.45 |
| 90681 | <1% | 12 | $63.00 | |
| 90619 | <1% | 21 | $27.00 | |
| 90656 | <1% | 97 | $19.00 | |
| 99000 | <1% | 36 | $0.05 | |
| 69210 | 0% | 185 | $0.00 | |
| 90707 | 0% | 102 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 29 | $0.00 |
| 90696 | 0% | 190 | $0.00 | |
| 90716 | 0% | 108 | $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 officialWALTON, STEPHANIE (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Walton Pediatrics and Medical Associates, INC | Sacramento, CA | $3.50M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.