Clinic
Herculean Babies Pediatrics
Herculean Babies Pediatrics was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoHERCULEAN BABIES PEDIATRICS
HERCULES, CA 94547
HERCULES, CA 94547
33aNPI1093049702assigned 09/28/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$1.20M
24GClaims72,580
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#47 of 422
Median peer was paid$25K
This provider vs. median49×
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 | 13,210 | $192K | |
| 2019 | 11,840 | $174K | |
| 2020 | 9,529 | $136K | |
| 2021 | 10,022 | $145K | |
| 2022 | 11,167 | $194K | |
| 2023 | 9,263 | $141K | |
| 2024incomplete | 7,549 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 16,067 | 13,803 | $475K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 5,251 | 4,963 | $130K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 9.8% | 2,991 | 2,696 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 2,784 | 2,759 | $88K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 2,292 | 2,281 | $85K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 5.9% | 5,884 | 5,791 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.3% | 1,760 | 1,743 | $51K |
| 92552 | 2.6% | 4,011 | 3,983 | $31K | |
| 90651 | 1.9% | 620 | 613 | $22K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.5% | 2,254 | 2,163 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 377 | 366 | $14K |
| 85018 | 1.1% | 7,132 | 7,038 | $13K |
50 more codes
| 86580 | <1% | 2,524 | $11K | |
| 90688 | <1% | 3,078 | $10K | |
| 99173 | <1% | 4,350 | $8K | |
| 90734 | <1% | 467 | $7K | |
| 90670 | <1% | 701 | $7K | |
| 99188 | <1% | 382 | $6K | |
| D1206 | Topical application of fluoride varnish | <1% | 489 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 196 | $4K |
| 90621 | <1% | 41 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,039 | $3K |
| 87430 | <1% | 371 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 341 | $2K |
| 0071A | <1% | 197 | $2K | |
| 0124A | <1% | 53 | $1K | |
| 90685 | <1% | 353 | $1K | |
| 0003A | <1% | 36 | $924.00 | |
| 90698 | <1% | 323 | $796.14 | |
| 0072A | <1% | 189 | $712.00 | |
| 90680 | <1% | 103 | $570.54 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 106 | $566.16 |
| 90715 | <1% | 58 | $531.48 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,731 | $445.50 |
| 0053A | <1% | 18 | $396.00 | |
| 88738 | <1% | 135 | $300.68 | |
| 0073A | <1% | 27 | $228.00 | |
| 90710 | <1% | 108 | $227.00 | |
| 0074A | <1% | 39 | $210.00 | |
| 0004A | <1% | 18 | $168.00 | |
| 90744 | <1% | 52 | $159.75 | |
| 90633 | <1% | 149 | $150.92 | |
| 90697 | <1% | 16 | $146.55 | |
| 0054A | <1% | 12 | $84.00 | |
| 91319 | <1% | 46 | $80.01 | |
| 90658 | <1% | 12 | $78.96 | |
| 90656 | <1% | 211 | $70.44 | |
| 91320 | <1% | 86 | $50.04 | |
| 81002 | <1% | 40 | $41.62 | |
| 0001A | <1% | 26 | $40.00 | |
| 90700 | <1% | 12 | $30.17 | |
| 99401 | <1% | 28 | $25.88 | |
| 90677 | <1% | 12 | $18.00 | |
| 90686 | <1% | 173 | $9.00 | |
| 90461 | 0% | 544 | $0.00 | |
| 91308 | 0% | 46 | $0.00 | |
| 91300 | 0% | 113 | $0.00 | |
| 0002A | 0% | 16 | $0.00 | |
| 91312 | 0% | 15 | $0.00 | |
| 36416 | 0% | 612 | $0.00 | |
| 91307 | 0% | 431 | $0.00 | |
| 91305 | 0% | 32 | $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 officialENZ, JOSE (OWNER)