Children's Primary Care Medical Group, INC.

Children's Primary Care Medical Group, INC. was paid $10.84M by Medicaid between Jan 2018 and Dec 2024, across 101 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoCHILDREN'S PRIMARY CARE MEDICAL GROUP, INC.
SAN DIEGO, CA 92123

33aNPI1184788291assigned 12/21/2006

33bProvider typePediatrics Physician

28Total paid$10.84M

24GClaims2,370,057

24DCodes billed101

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#18 of 1,490

Median peer was paid$15K

This provider vs. median723×

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	225,386	$1.42M
2019	264,580	$1.78M
2020	329,701	$1.58M
2021	414,967	$1.64M
2022	337,790	$1.32M
2023	374,134	$1.50M
2024incomplete	423,499	$1.59M

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	33%	540,228	515,718	$3.62M
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	22%	69,334	67,731	$2.34M
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	8.6%	98,728	94,898	$932K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	8.3%	98,322	97,639	$904K
92551		5.3%	183,673	183,174	$576K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.9%	78,635	78,217	$532K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.9%	45,162	44,927	$309K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.8%	57,273	47,581	$303K
90670		1.3%	48,462	48,128	$140K
90686		1.1%	120,469	119,969	$119K
90698		<1%	31,387	31,173	$95K
99381		<1%	1,877	1,850	$94K

89 more codes

90680		<1%	22,209	$79K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	15,651	$64K
0072A		<1%	2,034	$61K
90480		<1%	1,481	$59K
0071A		<1%	2,126	$57K
90744		<1%	14,313	$51K
90677		<1%	8,441	$46K
G9920	Screening performed and negative	<1%	14,324	$38K
90697		<1%	10,617	$37K
99215	Doctor's office visit, returning patient (complex)	<1%	2,412	$31K
90633		<1%	19,895	$26K
99000		<1%	71,589	$25K
88720		<1%	6,162	$23K
99460		<1%	467	$23K
90651		<1%	17,695	$21K
96127		<1%	93,499	$20K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	14,136	$16K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	28,918	$15K
94760		<1%	42,721	$14K
85018		<1%	64,127	$14K
90716		<1%	7,045	$10K
99383		<1%	584	$10K
90707		<1%	6,575	$9K
90656		<1%	9,310	$8K
90734		<1%	6,342	$8K
99384		<1%	441	$8K
91320		<1%	183	$7K
91319		<1%	180	$7K
90700		<1%	5,330	$7K
83655		<1%	8,975	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	14,299	$6K
0154A		<1%	116	$5K
90688		<1%	4,281	$4K
90710		<1%	3,921	$4K
0124A		<1%	106	$4K
90715		<1%	5,297	$4K
90619		<1%	4,293	$4K
90696		<1%	3,666	$4K
90685		<1%	2,028	$3K
0082A		<1%	78	$3K
91318		<1%	65	$3K
0081A		<1%	65	$3K
90713		<1%	1,427	$2K
0173A		<1%	42	$2K
99382		<1%	73	$2K
80061	Lipid panel	<1%	2,851	$1K
90648		<1%	1,075	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,017	$1K
0074A		<1%	29	$1K
99188		<1%	243	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	29	$1K
99072		<1%	60,369	$915.44
99239	Hospital discharge day management, more than 30 minutes	<1%	15	$860.92
81002		<1%	5,928	$764.90
90620		<1%	493	$758.78
0002A		<1%	27	$700.00
92552		<1%	461	$629.22
0054A		<1%	15	$600.00
96156		<1%	200,924	$532.90
0083A		<1%	13	$520.00
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	314	$500.21
90674		<1%	699	$441.00
99244	Office or other outpatient consultation, moderate to high complexity	<1%	14	$351.68
96161		<1%	6,527	$340.13
94664		<1%	611	$278.61
99173		<1%	97,078	$244.96
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	<1%	115	$236.90
94060		<1%	44	$235.06
0001A		<1%	29	$220.00
99174		<1%	5,580	$140.62
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	147	$113.38
1036F		<1%	26,529	$111.97
90381		<1%	44	$108.00
90672		<1%	209	$80.64
99243		<1%	12	$64.26
86580		<1%	109	$51.39
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	76	$44.00
82948		<1%	88	$7.01
96160		<1%	7,117	$5.00
36416		0%	38,336	$0.00
91307		0%	1,160	$0.00
J8540	Dexamethasone, oral, 0.25 mg	0%	305	$0.00
A4620	Variable concentration mask	0%	216	$0.00
92567		0%	49	$0.00
A4627	Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler	0%	14	$0.00
3351F		0%	13	$0.00
99205	Prolong outpt/office vis	0%	13	$0.00
90461		0%	13	$0.00
69210		0%	18	$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 officialBRESLOW, ADAM (PRESIDENT)