Physician
Fountain Valley Pediatrics, INC.
Fountain Valley Pediatrics, INC. was paid $703K by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 96156, — 24% of everything it billed.
33Billing provider infoFOUNTAIN VALLEY PEDIATRICS, INC.
FOUNTAIN VALLEY, CA 92708
FOUNTAIN VALLEY, CA 92708
33aNPI1225367071assigned 12/08/2009
33bProvider typePediatrics Physician
28Total paid$703K
24GClaims47,762
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#169 of 1,490
Median peer was paid$15K
This provider vs. median47×
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 | 6,491 | $96K | |
| 2019 | 6,649 | $95K | |
| 2020 | 5,265 | $95K | |
| 2021 | 6,276 | $134K | |
| 2022 | 6,989 | $154K | |
| 2023 | 8,199 | $110K | |
| 2024incomplete | 7,893 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 24% | 3,325 | 3,307 | $170K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.8% | 1,566 | 1,559 | $69K |
| G9920 | Screening performed and negative | 8.1% | 2,772 | 2,744 | $57K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.7% | 1,123 | 1,121 | $54K |
| 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 | 7.2% | 2,408 | 2,242 | $51K |
| 97803 | 5.4% | 2,610 | 2,587 | $38K | |
| 92551 | 5.2% | 3,531 | 3,520 | $37K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.0% | 3,966 | 3,544 | $35K |
| 97802 | 3.8% | 1,930 | 1,920 | $27K | |
| 96151 | 3.4% | 1,280 | 1,269 | $24K | |
| 80061 | Lipid panel | 3.3% | 3,246 | 3,232 | $23K |
| 90686 | 1.8% | 1,778 | 1,769 | $13K |
31 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 289 | $12K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.6% | 962 | $11K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.5% | 627 | $10K |
| 81000 | 1.5% | 3,938 | $10K | |
| 96127 | 1.3% | 3,104 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.3% | 289 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 140 | $7K |
| 99173 | <1% | 2,072 | $7K | |
| 87110 | <1% | 550 | $4K | |
| 90651 | <1% | 408 | $4K | |
| H0049 | Alcohol and/or drug screening | <1% | 200 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,701 | $3K |
| 0072A | <1% | 66 | $3K | |
| 85018 | <1% | 2,109 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 253 | $2K |
| 92552 | <1% | 131 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 244 | $1K |
| 0071A | <1% | 35 | $1K | |
| 96160 | <1% | 155 | $779.99 | |
| 90461 | <1% | 481 | $586.71 | |
| 90734 | <1% | 55 | $486.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 19 | $467.55 |
| 90619 | <1% | 81 | $396.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 93 | $377.38 |
| 85999 | <1% | 107 | $319.06 | |
| 90710 | <1% | 12 | $281.00 | |
| 86580 | <1% | 29 | $224.84 | |
| 90620 | <1% | 27 | $216.00 | |
| 90658 | <1% | 22 | $198.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 14 | $88.50 |
| 99188 | 0% | 14 | $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 officialKO, ANDREW (PRESIDENT)