Physician
San Juan Pediatrics INC
San Juan Pediatrics INC was paid $3.00M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoSAN JUAN PEDIATRICS INC
SAN JUAN CAPISTRANO, CA 92675
SAN JUAN CAPISTRANO, CA 92675
33aNPI1073793790assigned 11/09/2007
33bProvider typePediatrics Physician
28Total paid$3.00M
24GClaims115,526
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#48 of 1,490
Median peer was paid$15K
This provider vs. median200×
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 | 30,594 | $684K | |
| 2019 | 12,320 | $378K | |
| 2020 | 9,661 | $342K | |
| 2021 | 12,599 | $415K | |
| 2022 | 14,596 | $465K | |
| 2023 | 17,132 | $359K | |
| 2024incomplete | 18,624 | $360K |
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 | 32% | 21,923 | 18,911 | $960K |
| 96156 | 12% | 4,257 | 4,244 | $350K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 6,015 | 5,822 | $331K |
| G9920 | Screening performed and negative | 5.1% | 6,578 | 6,508 | $154K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.5% | 5,161 | 4,885 | $135K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 3,090 | 3,060 | $134K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 2,313 | 2,303 | $113K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 1,876 | 1,872 | $109K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.4% | 1,880 | 1,316 | $101K |
| 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 | 2.7% | 1,303 | 1,244 | $80K |
| 99406 | 2.5% | 8,268 | 8,200 | $74K | |
| 92551 | 2.3% | 6,874 | 6,817 | $70K |
45 more codes
| 97802 | 2.3% | 3,505 | $68K | |
| 99381 | 2.3% | 578 | $68K | |
| 99203 | Doctor's office visit, new patient (routine) | 1.7% | 507 | $50K |
| 96151 | 1.3% | 1,705 | $38K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,681 | $21K |
| 90670 | <1% | 1,707 | $15K | |
| 90698 | <1% | 1,711 | $15K | |
| 85018 | <1% | 7,422 | $14K | |
| 90686 | <1% | 1,402 | $13K | |
| 90680 | <1% | 1,072 | $9K | |
| 90633 | <1% | 1,168 | $9K | |
| 90744 | <1% | 937 | $8K | |
| 81000 | <1% | 4,268 | $8K | |
| 90710 | <1% | 907 | $7K | |
| 90671 | <1% | 629 | $6K | |
| 85999 | <1% | 1,971 | $5K | |
| 81001 | <1% | 1,412 | $5K | |
| 99173 | <1% | 1,669 | $5K | |
| 90658 | <1% | 365 | $3K | |
| 90697 | <1% | 465 | $3K | |
| 90674 | <1% | 735 | $3K | |
| 90651 | <1% | 511 | $3K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 43 | $2K |
| 90715 | <1% | 242 | $2K | |
| 90734 | <1% | 196 | $2K | |
| 0071A | <1% | 44 | $2K | |
| 90696 | <1% | 220 | $2K | |
| 90480 | <1% | 36 | $1K | |
| 90619 | <1% | 248 | $1K | |
| 86580 | <1% | 454 | $1K | |
| 91320 | <1% | 13 | $830.00 | |
| 90688 | <1% | 81 | $729.00 | |
| 0051A | <1% | 15 | $600.00 | |
| 0124A | <1% | 13 | $520.00 | |
| 90716 | <1% | 54 | $486.00 | |
| 0072A | <1% | 12 | $480.00 | |
| 90620 | <1% | 155 | $423.00 | |
| 90707 | <1% | 46 | $414.00 | |
| 99188 | <1% | 37 | $348.30 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 138 | $205.72 |
| 90661 | <1% | 151 | $144.00 | |
| 99050 | <1% | 7,376 | $137.80 | |
| 81002 | <1% | 61 | $70.04 | |
| 90713 | <1% | 12 | $45.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 0% | 14 | $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 officialFAHIM, ASHRAF (OWNER / PHYSICIAN)
Parent organizationSAN JUAN PEDIATRICS INC