Clinic
Lodi Children's Clinic Medical Corporation
Lodi Children's Clinic Medical Corporation was paid $2.50M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 96156, — 28% of everything it billed.
33Billing provider infoLODI CHILDREN'S CLINIC MEDICAL CORPORATION
LODI, CA 95242
LODI, CA 95242
33aNPI1235203688assigned 11/19/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.50M
24GClaims176,068
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#36 of 422
Median peer was paid$25K
This provider vs. median102×
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 | 27,538 | $267K | |
| 2019 | 26,243 | $216K | |
| 2020 | 22,621 | $309K | |
| 2021 | 32,252 | $600K | |
| 2022 | 28,512 | $500K | |
| 2023 | 20,439 | $319K | |
| 2024incomplete | 18,463 | $289K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 28% | 7,481 | 7,401 | $700K | |
| 97802 | 13% | 10,346 | 10,245 | $314K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 11% | 16,014 | 15,793 | $273K |
| G9920 | Screening performed and negative | 11% | 8,092 | 8,036 | $273K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.2% | 2,254 | 1,652 | $154K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 5.4% | 3,353 | 3,193 | $134K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.1% | 33,395 | 30,208 | $127K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 2,725 | 2,554 | $66K |
| D1206 | Topical application of fluoride varnish | 2.6% | 2,817 | 2,794 | $64K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.2% | 1,007 | 995 | $55K |
| 99173 | 1.5% | 9,813 | 9,710 | $37K | |
| 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 | 1.3% | 5,917 | 5,615 | $33K |
51 more codes
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,202 | $23K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,843 | $22K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,031 | $22K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,556 | $22K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,553 | $20K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 717 | $19K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,228 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,036 | $16K |
| 99000 | <1% | 3,625 | $15K | |
| 99188 | <1% | 581 | $12K | |
| 90680 | <1% | 1,625 | $10K | |
| 99381 | <1% | 138 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,051 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 870 | $6K |
| 90651 | <1% | 2,106 | $6K | |
| 99406 | <1% | 459 | $5K | |
| 86580 | <1% | 1,461 | $5K | |
| 90734 | <1% | 1,662 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 339 | $4K |
| 96127 | <1% | 645 | $3K | |
| 92551 | <1% | 12,260 | $3K | |
| 0071A | <1% | 67 | $3K | |
| 0001A | <1% | 47 | $2K | |
| 90686 | <1% | 4,894 | $2K | |
| 90670 | <1% | 3,215 | $2K | |
| 81000 | <1% | 658 | $2K | |
| 90677 | <1% | 73 | $1K | |
| 0072A | <1% | 34 | $1K | |
| 0002A | <1% | 28 | $1K | |
| 81002 | <1% | 328 | $819.87 | |
| 99460 | <1% | 14 | $792.96 | |
| 90619 | <1% | 98 | $682.76 | |
| 90480 | <1% | 12 | $576.00 | |
| 90716 | <1% | 579 | $505.69 | |
| 90723 | <1% | 1,638 | $444.29 | |
| 90715 | <1% | 963 | $292.56 | |
| 90648 | <1% | 2,542 | $284.98 | |
| 90633 | <1% | 1,918 | $251.01 | |
| 90710 | <1% | 764 | $228.92 | |
| 69209 | <1% | 26 | $228.59 | |
| 90697 | <1% | 475 | $216.94 | |
| 90707 | <1% | 520 | $201.22 | |
| 99383 | <1% | 12 | $201.06 | |
| 90656 | <1% | 432 | $147.00 | |
| 90696 | <1% | 706 | $114.20 | |
| 90700 | <1% | 543 | $88.09 | |
| 90685 | <1% | 22 | $85.66 | |
| 90688 | 0% | 178 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 17 | $0.00 |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 28 | $0.00 |
| 90649 | 0% | 35 | $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 officialANUNCIACION, ROY (PRESIDENT)