Clinic
Roseville Pediatric Medical Group, INC
Roseville Pediatric Medical Group, INC was paid $897K by Medicaid between Jan 2018 and Feb 2022, across 57 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 18% of everything it billed.
33Billing provider infoROSEVILLE PEDIATRIC MEDICAL GROUP, INC
ROSEVILLE, CA 95661
ROSEVILLE, CA 95661
33aNPI1275647737assigned 08/19/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$897K
24GClaims160,625
24DCodes billed57
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#56 of 422
Median peer was paid$25K
This provider vs. median37×
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 | 15,888 | $176K | |
| 2019 | 46,499 | $186K | |
| 2020 | 43,978 | $206K | |
| 2021 | 47,949 | $280K | |
| 2022 | 6,311 | $49K |
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 | 18% | 14,969 | 12,789 | $160K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 3,866 | 3,567 | $138K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 4,918 | 4,734 | $91K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.1% | 6,469 | 6,296 | $55K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 2,841 | 2,814 | $54K |
| G9920 | Screening performed and negative | 4.7% | 8,612 | 8,428 | $42K |
| 96156 | 4.3% | 9,145 | 8,838 | $38K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 1,889 | 1,866 | $36K |
| 97802 | 3.7% | 9,594 | 9,317 | $33K | |
| 90670 | 3.5% | 3,297 | 3,106 | $31K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 692 | 667 | $22K |
| 99383 | 2.1% | 848 | 830 | $19K |
45 more codes
| 92551 | 1.9% | 8,157 | $17K | |
| 90710 | 1.9% | 1,784 | $17K | |
| 90651 | 1.8% | 1,166 | $17K | |
| 80061 | Lipid panel | 1.4% | 10,079 | $13K |
| 99381 | 1.4% | 212 | $12K | |
| 90648 | 1.3% | 3,365 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 1,431 | $11K |
| 90723 | 1.1% | 2,718 | $10K | |
| 90680 | <1% | 1,863 | $8K | |
| 99384 | <1% | 395 | $7K | |
| 99382 | <1% | 338 | $7K | |
| 90686 | <1% | 2,806 | $5K | |
| 99173 | <1% | 7,758 | $4K | |
| 90633 | <1% | 1,892 | $4K | |
| 96150 | <1% | 5,636 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 853 | $3K |
| 83655 | <1% | 1,642 | $3K | |
| 90685 | <1% | 970 | $3K | |
| D0120 | Dental checkup, returning patient | <1% | 8,470 | $2K |
| 96111 | <1% | 950 | $2K | |
| 90734 | <1% | 743 | $2K | |
| 90620 | <1% | 341 | $2K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 146 | $2K |
| 90700 | <1% | 874 | $2K | |
| 99401 | <1% | 8,366 | $2K | |
| 99460 | <1% | 33 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,704 | $1K |
| 90696 | <1% | 611 | $882.00 | |
| 96112 | <1% | 6,832 | $789.00 | |
| 90715 | <1% | 437 | $765.54 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 33 | $731.39 |
| 0012A | <1% | 20 | $312.29 | |
| 0011A | <1% | 22 | $220.22 | |
| 90681 | <1% | 76 | $207.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 514 | $202.20 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 28 | $174.00 |
| 90716 | <1% | 56 | $117.27 | |
| 90744 | <1% | 27 | $27.00 | |
| 90707 | <1% | 30 | $18.00 | |
| H0049 | Alcohol and/or drug screening | <1% | 2,812 | $14.40 |
| 90713 | <1% | 15 | $9.00 | |
| 99354 | 0% | 15 | $0.00 | |
| 91300 | 0% | 15 | $0.00 | |
| 99050 | 0% | 238 | $0.00 | |
| 91301 | 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 officialSERDA, JENNELL (MANAGER)