Pediatric Health and Wellness

Pediatric Health and Wellness was paid $6K by Medicaid between Oct 2018 and Apr 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 76% of everything it billed.

33Billing provider infoPEDIATRIC HEALTH AND WELLNESS
ROCKLIN, CA 95677

33aNPI1124426580assigned 12/16/2014

33bProvider typePrimary Care Clinic/Center

28Total paid$6K

24GClaims265

24DCodes billed4

24AFirst – last monthOct 2018 – Apr 2019

Compared with peers

Next to other Primary Care Clinic/Center providers in California

Rank by total paid#286 of 422

Median peer was paid$25K

This provider vs. median0.2×

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	154	$3K
2019	111	$3K

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	76%	162	139	$4K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	56	52	$831.60
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	9.5%	13	13	$531.83
90686		0%	34	34	$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 officialSKILES, SUNNIE (MD)