Clinic
Sanger Pediatrics a Medical Corporation
Sanger Pediatrics a Medical Corporation was paid $185K by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoSANGER PEDIATRICS A MEDICAL CORPORATION
SANGER, CA 93657
SANGER, CA 93657
33aNPI1245309772assigned 11/07/2006
33bProvider typeHealth Service Clinic/Center
28Total paid$185K
24GClaims46,867
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Health Service Clinic/Center providers in California
Rank by total paid#32 of 87
Median peer was paid$88K
This provider vs. median2.1×
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 | 10,102 | $55K | |
| 2019 | 7,528 | $28K | |
| 2020 | 7,487 | $29K | |
| 2021 | 6,862 | $18K | |
| 2022 | 6,066 | $14K | |
| 2023 | 5,360 | $18K | |
| 2024incomplete | 3,462 | $24K |
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 | 26% | 7,791 | 6,666 | $47K |
| 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 | 24% | 5,367 | 4,658 | $44K |
| 99460 | 8.4% | 1,303 | 1,293 | $16K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 6.7% | 1,424 | 1,404 | $12K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 379 | 346 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 1,695 | 1,643 | $10K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.3% | 1,385 | 1,334 | $10K |
| G9920 | Screening performed and negative | 3.6% | 2,329 | 2,264 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 942 | 918 | $6K |
| 99462 | 3.2% | 1,066 | 805 | $6K | |
| 92552 | 2.7% | 3,858 | 3,767 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 969 | 936 | $3K |
30 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 731 | $2K |
| 85018 | <1% | 5,948 | $963.45 | |
| 99188 | <1% | 980 | $885.62 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $854.58 |
| 90658 | <1% | 1,442 | $772.65 | |
| 81002 | <1% | 3,780 | $543.48 | |
| 90670 | <1% | 394 | $538.50 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 69 | $413.37 |
| 90698 | <1% | 151 | $361.50 | |
| 90744 | <1% | 101 | $168.00 | |
| 96127 | <1% | 314 | $133.78 | |
| 99173 | <1% | 2,945 | $98.65 | |
| 90677 | <1% | 30 | $81.00 | |
| 90681 | <1% | 25 | $75.00 | |
| 90734 | <1% | 119 | $60.75 | |
| 90649 | <1% | 97 | $42.75 | |
| 90657 | <1% | 204 | $36.00 | |
| 90633 | <1% | 72 | $27.00 | |
| 90672 | <1% | 178 | $27.00 | |
| 90715 | <1% | 30 | $24.75 | |
| 90696 | <1% | 16 | $24.00 | |
| 90710 | <1% | 28 | $24.00 | |
| 86580 | <1% | 75 | $6.66 | |
| 96161 | 0% | 311 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 92 | $0.00 |
| 90620 | 0% | 36 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 42 | $0.00 |
| 83655 | 0% | 63 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 30 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 44 | $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 officialWALLS, EMERSON (PRESIDENT)