Pediatrics & Neonatology Medical Group of Orange County
Pediatrics & Neonatology Medical Group of Orange County was paid $258K by Medicaid between Jan 2018 and Feb 2024, across 20 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 63% of everything it billed.
33Billing provider infoPEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
33aNPI1275545642assigned 08/13/2006
33bProvider typeSpecialist
28Total paid$258K
24GClaims4,572
24DCodes billed20
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#378 of 1,230
Median peer was paid$51K
This provider vs. median5.0×
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 | 887 | $23K | |
| 2019 | 1,142 | $23K | |
| 2020 | 1,276 | $65K | |
| 2021 | 298 | $25K | |
| 2022 | 375 | $47K | |
| 2023 | 559 | $70K | |
| 2024incomplete | 35 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 63% | 1,266 | 505 | $163K |
| 96156 | 10% | 263 | 262 | $26K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 577 | 551 | $22K |
| 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 | 3.0% | 136 | 129 | $8K |
| 92551 | 2.6% | 482 | 481 | $7K | |
| 92652 | 1.7% | 49 | 44 | $4K | |
| 92586 | 1.7% | 90 | 77 | $4K | |
| G9920 | Screening performed and negative | 1.6% | 136 | 136 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 69 | 69 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.4% | 78 | 78 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 39 | 36 | $3K |
| 96150 | <1% | 107 | 107 | $2K |
8 more codes
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 officialCRESAP, JILL (DIRECTOR OF OPERATIONS)