Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatrix Cardiology of Orange County, P.C.

Pediatrix Cardiology of Orange County, P.C. was paid $3.62M by Medicaid between Jan 2018 and Aug 2023, across 14 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 28% of everything it billed.

33Billing provider infoPEDIATRIX CARDIOLOGY OF ORANGE COUNTY, P.C.
ORANGE, CA 92868
33aNPI1245505866assigned 03/15/2012
28Total paid$3.62M
24GClaims42,831
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers

Next to other Pediatric Cardiology Physician providers in California

Rank by total paid#8 of 45
Median peer was paid$120K
This provider vs. median30×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SANDERS, NANETTE controls 16+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
20189,629$715K
201910,767$810K
20208,083$665K
20216,104$619K
20224,938$506K
20233,310$303K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 28% 7,973 7,463 $1.03M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 26% 4,360 4,310 $930K
93320 15% 7,987 7,434 $525K
93325 13% 8,650 7,970 $457K
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 5.5% 2,674 2,613 $198K
99244 Office or other outpatient consultation, moderate to high complexity 4.7% 1,632 1,630 $169K
93000 4.2% 4,462 4,458 $151K
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 1.5% 600 599 $53K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1.3% 3,915 3,765 $49K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.3% 413 370 $47K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 101 25 $7K
93304 <1% 24 24 $2K
2 more codes
93321 <1% 26 $1K
99203 Doctor's office visit, new patient (routine) <1% 14 $957.42

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 officialSANDERS, NANETTE (ASSISTANT SECRETARY)
Same official

Other billing entities under SANDERS, NANETTE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.