Physician
Children's Hospital Los Angeles Medical Group, INC.
Children's Hospital Los Angeles Medical Group, INC. was paid $24.64M by Medicaid between Jan 2018 and Dec 2024, across 177 billing codes. Its largest line is 99283, emergency room visit (moderate) — 29% of everything it billed.
33Billing provider infoCHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP, INC.
LOS ANGELES, CA 90027
LOS ANGELES, CA 90027
33aNPI1265530653assigned 09/20/2006
33bProvider typePediatrics Physician
28Total paid$24.64M
24GClaims549,970
24DCodes billed177
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#9 of 1,490
Median peer was paid$15K
This provider vs. median1,643×
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 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 | 32,286 | $906K | |
| 2019 | 35,865 | $1.25M | |
| 2020 | 30,503 | $1.18M | |
| 2021 | 84,483 | $3.93M | |
| 2022 | 115,261 | $5.55M | |
| 2023 | 137,303 | $6.74M | |
| 2024incomplete | 114,269 | $5.08M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 29% | 133,196 | 132,140 | $7.08M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 17% | 56,437 | 56,102 | $4.08M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 15% | 35,796 | 35,299 | $3.63M |
| 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 | 7.1% | 40,328 | 39,768 | $1.75M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.6% | 17,483 | 17,217 | $1.14M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.3% | 8,827 | 8,794 | $808K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 21,781 | 21,379 | $624K |
| 93975 | 1.8% | 5,422 | 5,360 | $451K | |
| 99243 | 1.6% | 5,924 | 5,913 | $390K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 1.5% | 6,740 | 2,590 | $375K |
| 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 | 1.2% | 3,974 | 3,943 | $300K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.2% | 1,484 | 1,480 | $289K |
165 more codes
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 2,308 | $245K |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 3,218 | $230K |
| 92060 | <1% | 8,100 | $194K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,962 | $192K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 10,037 | $180K |
| 95812 | <1% | 4,016 | $173K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 2,018 | $171K |
| 99245 | <1% | 1,467 | $168K | |
| 43762 | <1% | 736 | $163K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 23,712 | $160K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 7,929 | $135K |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 3,322 | $131K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,362 | $95K |
| 69210 | <1% | 3,143 | $89K | |
| 74019 | <1% | 6,807 | $84K | |
| 92015 | Determination of refractive state | <1% | 8,400 | $72K |
| 71045 | Radiologic examination, chest; single view | <1% | 8,921 | $71K |
| 44970 | <1% | 214 | $65K | |
| 99205 | Prolong outpt/office vis | <1% | 669 | $65K |
| 76770 | <1% | 3,329 | $63K | |
| 95782 | <1% | 443 | $62K | |
| 99223 | Prolong inpt eval add15 m | <1% | 703 | $61K |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 7,203 | $51K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,163 | $51K |
| 99254 | <1% | 608 | $48K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 938 | $42K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 302 | $41K |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 2,056 | $39K |
| 96156 | <1% | 398 | $37K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 297 | $31K |
| 92504 | <1% | 1,797 | $29K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 544 | $27K |
| 01922 | <1% | 114 | $24K | |
| 74018 | <1% | 3,970 | $24K | |
| 99417 | Prolong home eval add 15m | <1% | 561 | $23K |
| S0265 | Genetic counseling, under physician supervision, each 15 minutes | <1% | 281 | $23K |
| 93000 | <1% | 696 | $22K | |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 264 | $20K |
| 94726 | <1% | 1,299 | $18K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 93 | $17K |
| 49452 | <1% | 12 | $15K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 355 | $15K |
| 95720 | <1% | 73 | $15K | |
| 94060 | <1% | 801 | $14K | |
| 99253 | <1% | 237 | $14K | |
| 93325 | <1% | 737 | $13K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 91 | $13K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 71 | $11K |
| 73090 | <1% | 1,976 | $11K | |
| 73610 | <1% | 2,166 | $10K | |
| 99242 | <1% | 187 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 486 | $10K |
| 62322 | <1% | 68 | $10K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 234 | $9K |
| 14040 | <1% | 39 | $8K | |
| 94729 | <1% | 977 | $8K | |
| 54161 | <1% | 94 | $8K | |
| 73080 | <1% | 1,119 | $8K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 91 | $6K |
| 54830 | <1% | 34 | $5K | |
| 93320 | <1% | 107 | $5K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 105 | $5K |
| 73590 | <1% | 925 | $5K | |
| 92134 | <1% | 264 | $5K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 20 | $4K |
| 91200 | <1% | 264 | $4K | |
| 92133 | <1% | 161 | $4K | |
| 94010 | <1% | 379 | $3K | |
| 97810 | <1% | 360 | $3K | |
| 73630 | <1% | 687 | $3K | |
| 76536 | <1% | 275 | $3K | |
| 72082 | <1% | 202 | $2K | |
| 73130 | <1% | 359 | $2K | |
| 94727 | <1% | 96 | $2K | |
| 92250 | <1% | 71 | $2K | |
| 73562 | <1% | 425 | $1K | |
| 95819 | <1% | 41 | $1K | |
| 72141 | <1% | 26 | $1K | |
| 55175 | <1% | 13 | $1K | |
| 70486 | <1% | 24 | $1K | |
| 31231 | <1% | 24 | $1K | |
| 92201 | <1% | 34 | $931.21 | |
| 73110 | <1% | 216 | $892.38 | |
| 73140 | <1% | 392 | $870.69 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 62 | $853.14 |
| 73100 | <1% | 206 | $805.76 | |
| 0360 | <1% | 1,522 | $791.64 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 13 | $771.69 |
| 72170 | <1% | 230 | $738.65 | |
| 99221 | <1% | 13 | $677.38 | |
| 93321 | <1% | 13 | $665.14 | |
| 73070 | <1% | 107 | $632.13 | |
| 99354 | <1% | 13 | $502.76 | |
| 76881 | <1% | 38 | $479.45 | |
| 72146 | <1% | 12 | $467.59 | |
| 76870 | <1% | 15 | $434.97 | |
| 77074 | <1% | 16 | $239.77 | |
| 95012 | <1% | 13 | $212.26 | |
| 99199 | Unlisted special service, procedure or report | <1% | 1,217 | $150.80 |
| 77072 | <1% | 47 | $117.92 | |
| 99418 | Prolong nursin fac eval 15m | <1% | 16 | $116.11 |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 1,518 | $107.58 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 483 | $107.31 |
| 73000 | <1% | 12 | $59.56 | |
| 73060 | <1% | 13 | $56.35 | |
| 72100 | <1% | 13 | $52.05 | |
| 0450 | Emergency room services | <1% | 17,291 | $49.60 |
| J3490 | Unclassified drugs | <1% | 3,937 | $49.50 |
| Q3014 | Telehealth originating site facility fee | <1% | 864 | $45.41 |
| 73030 | <1% | 13 | $44.49 | |
| 0710 | <1% | 1,671 | $44.35 | |
| 77080 | <1% | 12 | $39.89 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 443 | $17.53 |
| 73560 | <1% | 14 | $17.24 | |
| J0131 | Injection, acetaminophen, not otherwise specified,10 mg | <1% | 106 | $13.34 |
| 80053 | Comprehensive metabolic panel | <1% | 839 | $10.65 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 43 | $8.70 |
| J0665 | Injection, bupivicaine, not otherwise specified, 0.5 mg | <1% | 12 | $8.27 |
| 0272 | <1% | 534 | $8.25 | |
| 0270 | <1% | 7,265 | $8.25 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 609 | $7.74 |
| 0760 | 0% | 7,858 | $0.00 | |
| 81003 | 0% | 1,933 | $0.00 | |
| 0123 | 0% | 1,864 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 42 | $0.00 |
| 0302 | 0% | 195 | $0.00 | |
| 85007 | 0% | 222 | $0.00 | |
| 0300 | 0% | 245 | $0.00 | |
| 76775 | 0% | 14 | $0.00 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | 0% | 59 | $0.00 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | 0% | 52 | $0.00 |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 127 | $0.00 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | 0% | 63 | $0.00 |
| 99218 | 0% | 76 | $0.00 | |
| 87186 | 0% | 27 | $0.00 | |
| 1160F | 0% | 16 | $0.00 | |
| 82947 | 0% | 12 | $0.00 | |
| 0515 | 0% | 5,209 | $0.00 | |
| 0636 | 0% | 1,427 | $0.00 | |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 1,030 | $0.00 |
| 86140 | 0% | 147 | $0.00 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 1,677 | $0.00 |
| 0301 | 0% | 858 | $0.00 | |
| 0306 | 0% | 1,943 | $0.00 | |
| S0020 | Injection, bupivicaine hydrochloride, 30 ml | 0% | 15 | $0.00 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 183 | $0.00 |
| 85027 | 0% | 290 | $0.00 | |
| 0250 | 0% | 1,378 | $0.00 | |
| 0259 | 0% | 1,515 | $0.00 | |
| 84703 | 0% | 204 | $0.00 | |
| 0305 | 0% | 722 | $0.00 | |
| 87077 | 0% | 54 | $0.00 | |
| J2704 | Injection, propofol, 10 mg | 0% | 313 | $0.00 |
| 0324 | 0% | 60 | $0.00 | |
| 0761 | 0% | 1,075 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 150 | $0.00 |
| 0410 | 0% | 30 | $0.00 | |
| G0378 | Hospital observation service, per hour | 0% | 207 | $0.00 |
| 0370 | 0% | 125 | $0.00 | |
| 85652 | 0% | 13 | $0.00 | |
| 1126F | 0% | 16 | $0.00 | |
| 87650 | 0% | 27 | $0.00 | |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 84 | $0.00 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 46 | $0.00 |
| 99000 | 0% | 12 | $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 officialLIN, JAMES (CHIEF FINANCIAL OFFICER)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.