Physician
Children's Hospital Los Angeles Medical Group, INC.
Children's Hospital Los Angeles Medical Group, INC. was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
33aNPI1235314980assigned 12/31/2007
33bProvider typePediatric Otolaryngology Physician
28Total paid$1.27M
24GClaims18,909
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LIN, JAMES controls 20+ related entities in our dataset. Read more
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 | 3,713 | $202K | |
| 2019 | 5,303 | $326K | |
| 2020 | 3,174 | $208K | |
| 2021 | 2,454 | $190K | |
| 2022 | 1,353 | $96K | |
| 2023 | 1,838 | $140K | |
| 2024incomplete | 1,074 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 5,661 | 5,361 | $510K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 5,247 | 5,047 | $319K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 11% | 1,376 | 1,315 | $135K |
| 99243 | 5.1% | 1,168 | 1,165 | $64K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.9% | 910 | 908 | $62K |
| 31615 | 4.2% | 232 | 232 | $54K | |
| 92504 | 3.4% | 2,904 | 2,879 | $43K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 309 | 309 | $28K |
| 69210 | 2.1% | 869 | 741 | $27K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.0% | 77 | 77 | $13K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 102 | 55 | $11K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 54 | 54 | $187.71 |
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 officialLIN, JAMES (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.