Physician
Pediatrics R US INC
Pediatrics R US INC was paid $679K by Medicaid between May 2018 and Nov 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoPEDIATRICS R US INC
LAKE ELSINORE, CA 92532
LAKE ELSINORE, CA 92532
33aNPI1114452224assigned 04/26/2017
33bProvider typePediatrics Physician
28Total paid$679K
24GClaims83,323
24DCodes billed54
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#177 of 1,490
Median peer was paid$15K
This provider vs. median45×
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 | 976 | $17K | |
| 2019 | 5,632 | $111K | |
| 2020 | 8,217 | $178K | |
| 2021 | 12,671 | $123K | |
| 2022 | 15,509 | $56K | |
| 2023 | 19,846 | $67K | |
| 2024incomplete | 20,472 | $126K |
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 | 21% | 12,111 | 10,260 | $141K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 13% | 4,784 | 4,758 | $87K |
| 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 | 11% | 4,799 | 4,317 | $77K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 1,597 | 1,561 | $57K |
| 92551 | 7.2% | 4,395 | 4,365 | $49K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 2,675 | 2,671 | $41K |
| 94760 | 5.2% | 20,378 | 17,004 | $35K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 1,671 | 1,669 | $24K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 405 | 402 | $19K |
| 99383 | 2.7% | 369 | 363 | $18K | |
| 99188 | 2.6% | 2,728 | 2,721 | $17K | |
| 99382 | 1.6% | 180 | 179 | $11K |
42 more codes
| 90686 | 1.5% | 2,730 | $10K | |
| G9920 | Screening performed and negative | 1.5% | 4,508 | $10K |
| 99381 | 1.4% | 140 | $10K | |
| 90671 | 1.2% | 492 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 614 | $8K |
| 90670 | 1.2% | 1,295 | $8K | |
| 90648 | 1.1% | 1,681 | $7K | |
| 90723 | <1% | 1,037 | $7K | |
| 90651 | <1% | 571 | $4K | |
| 90633 | <1% | 1,027 | $4K | |
| 99401 | <1% | 2,225 | $3K | |
| 90716 | <1% | 432 | $2K | |
| 90681 | <1% | 330 | $2K | |
| 90707 | <1% | 462 | $2K | |
| 90700 | <1% | 738 | $2K | |
| 90619 | <1% | 218 | $2K | |
| 96127 | <1% | 1,018 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 811 | $1K |
| 90480 | <1% | 34 | $1K | |
| 90698 | <1% | 136 | $1K | |
| 90744 | <1% | 124 | $1K | |
| 99384 | <1% | 12 | $864.44 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 145 | $741.70 |
| 90680 | <1% | 69 | $616.14 | |
| 96161 | <1% | 1,250 | $550.00 | |
| 0071A | <1% | 12 | $480.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 146 | $475.92 |
| 90715 | <1% | 69 | $392.00 | |
| H0001 | Alcohol and/or drug assessment | <1% | 825 | $360.00 |
| 90713 | <1% | 233 | $348.37 | |
| 90620 | <1% | 37 | $334.00 | |
| 83655 | <1% | 60 | $297.71 | |
| 90710 | <1% | 145 | $134.37 | |
| 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% | 29 | $130.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $111.36 |
| 99173 | <1% | 43 | $95.98 | |
| 90734 | <1% | 25 | $26.73 | |
| 85018 | <1% | 12 | $24.60 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,250 | $19.66 |
| 4004F | <1% | 1,191 | $19.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 12 | $10.00 |
| 99441 | 0% | 29 | $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 officialFAYAD, HOUSSAM (PRESIDENT)