Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Colton › NPI 1093843005
Physician

Arrowhead Pediatrics Medical Group, INC.

Arrowhead Pediatrics Medical Group, INC. was paid $3.43M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 16% of everything it billed.

33Billing provider infoARROWHEAD PEDIATRICS MEDICAL GROUP, INC.
COLTON, CA 92324
33aNPI1093843005assigned 03/01/2007
33bProvider typePediatrics Physician
28Total paid$3.43M
24GClaims248,501
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#46 of 1,490
Median peer was paid$15K
This provider vs. median229×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201830,435$472K
201931,601$521K
202034,893$538K
202141,094$541K
202232,153$376K
202338,001$542K
2024incomplete40,324$438K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16% 16,756 16,492 $542K
99460 14% 10,224 10,087 $470K
99462 13% 18,684 14,392 $461K
99381 9.2% 3,827 3,742 $314K
99479 Subsequent intensive care, per day, very low birth weight infant 8.3% 2,170 353 $285K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 6.1% 6,174 5,225 $210K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5.7% 23,606 22,588 $197K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.6% 24,611 23,622 $192K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3.0% 19,829 19,641 $104K
G9920 Screening performed and negative 2.6% 17,762 17,665 $91K
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 1.9% 1,124 1,079 $66K
99222 Initial hospital care, per day, moderate complexity 1.5% 1,004 988 $52K
50 more codes
D1206 Topical application of fluoride varnish 1.5% 4,543 $52K
99480 Subsequent intensive care, per day, low birth weight infant 1.4% 416 $48K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger 1.2% 229 $42K
90723 1.1% 8,085 $37K
90670 1.0% 9,181 $36K
90647 1.0% 8,200 $36K
90681 <1% 5,898 $33K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 9,620 $33K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 6,421 $31K
99238 Hospital discharge day management, 30 minutes or less <1% 793 $22K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 4,435 $15K
90697 <1% 1,877 $10K
90671 <1% 2,438 $10K
99477 <1% 27 $8K
99204 Doctor's office visit, new patient (more involved) <1% 70 $5K
90633 <1% 3,954 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 42 $3K
90685 <1% 2,203 $3K
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 4,732 $2K
90686 <1% 3,661 $2K
86580 <1% 510 $1K
99245 <1% 13 $1K
90716 <1% 1,010 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,139 $1K
99188 <1% 1,511 $1K
83655 <1% 4,647 $1K
99383 <1% 52 $1K
90707 <1% 916 $1K
90700 <1% 621 $462.15
90734 <1% 575 $425.37
90651 <1% 740 $395.91
90696 <1% 487 $350.42
90710 <1% 443 $335.73
85018 <1% 5,083 $270.24
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 110 $238.54
90715 <1% 163 $146.05
92551 <1% 1,207 $128.89
90648 <1% 12 $81.00
G0444 Annual depression screening, 5 to 15 minutes <1% 878 $72.00
90620 <1% 161 $51.00
96160 <1% 177 $2.53
1036F 0% 2,410 $0.00
H0049 Alcohol and/or drug screening 0% 1,545 $0.00
99172 0% 820 $0.00
99447 0% 111 $0.00
3008F 0% 120 $0.00
99384 0% 14 $0.00
99446 0% 256 $0.00
99499 0% 162 $0.00
99382 0% 12 $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 officialWONG, WEBSTER (PRESIDENT)