Monterey Peninsula Pediatric Medical Group, INC

Monterey Peninsula Pediatric Medical Group, INC was paid $12K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 85% of everything it billed.

33Billing provider infoMONTEREY PENINSULA PEDIATRIC MEDICAL GROUP, INC
MONTEREY, CA 93940

33aNPI1235230624assigned 09/26/2006

33bProvider typePediatrics Physician

28Total paid$12K

24GClaims1,548

24DCodes billed5

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#776 of 1,490

Median peer was paid$15K

This provider vs. median0.8×

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	419	$2K
2019	315	$3K
2020	140	$1K
2021	131	$1K
2022	194	$2K
2023	225	$1K
2024incomplete	124	$361.70

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	85%	1,449	1,337	$10K
90686		9.3%	60	60	$1K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.9%	13	12	$455.00
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	1.6%	13	12	$184.11
99173		<1%	13	13	$86.04

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 officialROSEN, ALAN (PARTNER)