Physician
Newport Children Medical Group at Mission
Newport Children Medical Group at Mission was paid $1.63M by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 96156, — 30% of everything it billed.
33Billing provider infoNEWPORT CHILDREN MEDICAL GROUP AT MISSION
MISSION VIEJO, CA 92691
MISSION VIEJO, CA 92691
33aNPI1154765709assigned 04/25/2013
33bProvider typePediatric Critical Care Medicine Physician
28Total paid$1.63M
24GClaims38,446
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Critical Care Medicine Physician providers in California
Rank by total paid#7 of 17
Median peer was paid$568K
This provider vs. median2.9×
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 | 679 | $35K | |
| 2019 | 180 | $15K | |
| 2020 | 156 | $14K | |
| 2021 | 427 | $40K | |
| 2022 | 922 | $70K | |
| 2023 | 16,886 | $800K | |
| 2024incomplete | 19,196 | $657K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 30% | 5,302 | 5,181 | $495K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 20% | 5,739 | 5,599 | $323K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 2,915 | 2,769 | $216K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 2,268 | 2,240 | $140K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 4,781 | 3,143 | $123K |
| 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 | 6.7% | 3,187 | 1,812 | $109K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 955 | 943 | $60K |
| 99381 | 3.5% | 630 | 613 | $57K | |
| 99460 | 1.2% | 374 | 373 | $19K | |
| 92551 | <1% | 1,217 | 1,193 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 192 | 192 | $12K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 263 | 261 | $11K |
26 more codes
| 90680 | <1% | 873 | $7K | |
| 90697 | <1% | 548 | $6K | |
| 90671 | <1% | 646 | $5K | |
| 90655 | <1% | 545 | $5K | |
| 90633 | <1% | 540 | $4K | |
| 90698 | <1% | 430 | $4K | |
| 90677 | <1% | 498 | $3K | |
| 90700 | <1% | 290 | $2K | |
| 90670 | <1% | 260 | $2K | |
| 90707 | <1% | 257 | $2K | |
| 90716 | <1% | 245 | $2K | |
| 94760 | <1% | 2,987 | $2K | |
| 90744 | <1% | 213 | $2K | |
| 90648 | <1% | 169 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 97 | $1K |
| 90696 | <1% | 116 | $972.00 | |
| 90710 | <1% | 121 | $891.00 | |
| 99462 | <1% | 33 | $416.06 | |
| 97802 | <1% | 209 | $169.05 | |
| 87807 | <1% | 61 | $73.39 | |
| 91318 | <1% | 16 | $65.36 | |
| 87400 | <1% | 239 | $62.50 | |
| 90381 | <1% | 14 | $27.00 | |
| 99000 | <1% | 43 | $18.11 | |
| 99173 | 0% | 764 | $0.00 | |
| 99172 | 0% | 409 | $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 officialRODRIGUEZ-TOLEDO, JOHANNA (SECRETARY)