Clinic
West Sacramentopediatric Medical Group,inc
West Sacramentopediatric Medical Group,inc was paid $665K by Medicaid between Jan 2018 and Feb 2022, across 54 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 14% of everything it billed.
33Billing provider infoWEST SACRAMENTOPEDIATRIC MEDICAL GROUP,INC
WEST SACRAMENTO, CA 95691
WEST SACRAMENTO, CA 95691
33aNPI1215009212assigned 11/14/2006
33bProvider typeClinic/Center
28Total paid$665K
24GClaims67,658
24DCodes billed54
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Clinic/Center providers in California
Rank by total paid#154 of 504
Median peer was paid$102K
This provider vs. median6.5×
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 | 13,194 | $158K | |
| 2019 | 16,347 | $115K | |
| 2020 | 16,375 | $155K | |
| 2021 | 18,197 | $192K | |
| 2022 | 3,545 | $45K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 14% | 2,045 | 2,018 | $91K |
| G9920 | Screening performed and negative | 9.5% | 3,354 | 3,333 | $63K |
| 96156 | 9.4% | 4,381 | 4,331 | $63K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.5% | 1,815 | 1,763 | $57K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 7,562 | 6,780 | $52K |
| 96150 | 7.6% | 3,907 | 3,839 | $51K | |
| 97802 | 4.8% | 2,997 | 2,933 | $32K | |
| H0049 | Alcohol and/or drug screening | 4.0% | 1,337 | 1,322 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 3,147 | 3,090 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 2,501 | 2,477 | $19K |
| 90670 | 2.7% | 1,848 | 1,827 | $18K | |
| 90686 | 2.5% | 2,136 | 2,130 | $16K |
42 more codes
| 90651 | 2.1% | 702 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.9% | 1,561 | $13K |
| 99381 | 1.9% | 259 | $12K | |
| 90648 | 1.8% | 1,853 | $12K | |
| 90723 | 1.5% | 1,471 | $10K | |
| 90710 | 1.2% | 825 | $8K | |
| 92551 | 1.2% | 6,285 | $8K | |
| 90680 | 1.2% | 1,081 | $8K | |
| 99460 | 1.2% | 155 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.0% | 732 | $7K |
| 90633 | <1% | 1,112 | $7K | |
| 80061 | Lipid panel | <1% | 1,901 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 311 | $5K |
| 83655 | <1% | 786 | $5K | |
| 90734 | <1% | 540 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 114 | $4K |
| 99383 | <1% | 97 | $3K | |
| 90685 | <1% | 370 | $2K | |
| 90620 | <1% | 113 | $2K | |
| 90696 | <1% | 314 | $2K | |
| 90715 | <1% | 211 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 530 | $2K |
| 90716 | <1% | 49 | $1K | |
| 99382 | <1% | 44 | $1K | |
| 90700 | <1% | 175 | $945.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,950 | $914.53 |
| 96111 | <1% | 293 | $877.60 | |
| 0071A | <1% | 48 | $813.12 | |
| 0002A | <1% | 29 | $766.53 | |
| 0072A | <1% | 19 | $729.41 | |
| 99401 | <1% | 1,888 | $602.20 | |
| 0001A | <1% | 32 | $542.08 | |
| 99384 | <1% | 12 | $427.80 | |
| 0011A | <1% | 54 | $406.56 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 23 | $310.00 |
| 0012A | <1% | 23 | $198.73 | |
| 96112 | <1% | 1,695 | $195.00 | |
| 90707 | <1% | 30 | $144.00 | |
| D0120 | Dental checkup, returning patient | <1% | 1,914 | $121.28 |
| 99173 | <1% | 952 | $22.58 | |
| 91301 | 0% | 53 | $0.00 | |
| 99050 | 0% | 22 | $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 officialTARRANT, JUDITH (PROVIDER, CO-OWNER)