Redwood Pediatric Medical Group
Redwood Pediatric Medical Group was paid $2.16M by Medicaid between Jan 2018 and Nov 2024, across 50 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 69% of everything it billed.
33Billing provider infoREDWOOD PEDIATRIC MEDICAL GROUP
FORTUNA, CA 95540
FORTUNA, CA 95540
33aNPI1164574083assigned 01/18/2007
33bProvider typeSpecialist
28Total paid$2.16M
24GClaims153,773
24DCodes billed50
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#109 of 1,230
Median peer was paid$51K
This provider vs. median42×
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 | 22,518 | $318K | |
| 2019 | 24,984 | $347K | |
| 2020 | 19,904 | $276K | |
| 2021 | 22,628 | $342K | |
| 2022 | 22,497 | $296K | |
| 2023 | 23,758 | $322K | |
| 2024incomplete | 17,484 | $261K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 69% | 57,529 | 50,581 | $1.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 35,253 | 31,911 | $139K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 5,437 | 5,220 | $88K |
| G9920 | Screening performed and negative | 3.3% | 2,479 | 2,444 | $72K |
| 90670 | 1.5% | 3,658 | 3,571 | $33K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 7,380 | 7,202 | $28K |
| 90716 | <1% | 2,260 | 2,220 | $21K | |
| 90680 | <1% | 2,332 | 2,251 | $21K | |
| 90707 | <1% | 2,282 | 2,243 | $21K | |
| 90633 | <1% | 2,267 | 2,191 | $20K | |
| 90698 | <1% | 2,221 | 2,209 | $20K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,563 | 4,544 | $19K |
38 more codes
| 90744 | <1% | 1,896 | $17K | |
| 99381 | <1% | 336 | $15K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,241 | $14K |
| 90651 | <1% | 1,144 | $13K | |
| 90697 | <1% | 1,260 | $11K | |
| 90656 | <1% | 1,113 | $10K | |
| 90655 | <1% | 1,055 | $9K | |
| 90671 | <1% | 913 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 829 | $8K |
| 90700 | <1% | 876 | $8K | |
| 90696 | <1% | 807 | $7K | |
| 90686 | <1% | 753 | $7K | |
| 90710 | <1% | 552 | $5K | |
| 90715 | <1% | 594 | $5K | |
| 90660 | <1% | 470 | $4K | |
| 90734 | <1% | 401 | $4K | |
| 90619 | <1% | 369 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 77 | $3K |
| 90672 | <1% | 344 | $3K | |
| 92551 | <1% | 3,069 | $3K | |
| 90647 | <1% | 296 | $3K | |
| 90381 | <1% | 54 | $2K | |
| 90648 | <1% | 266 | $2K | |
| 99460 | <1% | 38 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 299 | $2K |
| 99462 | <1% | 60 | $2K | |
| Z0334 | <1% | 91 | $2K | |
| 90620 | <1% | 114 | $1K | |
| 85018 | <1% | 3,726 | $785.32 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,046 | $699.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 260 | $536.33 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 39 | $507.00 |
| 90621 | <1% | 43 | $506.33 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 414 | $475.20 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 15 | $435.00 |
| 90713 | <1% | 14 | $126.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $125.84 |
| 81002 | <1% | 225 | $51.94 |
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 officialIVEY, SHALAMAR (BILLING MANAGER)