Physician
Children's Hospital Los Angeles Medical Group
Children's Hospital Los Angeles Medical Group was paid $2.21M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 60% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
33aNPI1104001858assigned 12/31/2007
33bProvider typePediatric Rheumatology Physician
28Total paid$2.21M
24GClaims23,213
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LIN, JAMES controls 20+ related entities in our dataset. Read more
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 | 4,306 | $367K | |
| 2019 | 2,912 | $298K | |
| 2020 | 3,561 | $349K | |
| 2021 | 3,242 | $329K | |
| 2022 | 2,528 | $237K | |
| 2023 | 3,539 | $308K | |
| 2024incomplete | 3,125 | $321K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 60% | 9,624 | 9,009 | $1.33M |
| Z4306 | 22% | 9,548 | 9,542 | $475K | |
| 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 | 15% | 3,224 | 3,033 | $324K |
| Z4305 | 3.4% | 751 | 750 | $75K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 53 | 13 | $3K |
| 99417 | Prolong home eval add 15m | <1% | 13 | 13 | $337.09 |
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 officialLIN, JAMES (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.