Pediatric Critical Care Group of America

Pediatric Critical Care Group of America was paid $568K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 99291, Critical care, evaluation and management of the critically ill patient, first 30-74 minutes — 71% of everything it billed.

33Billing provider infoPEDIATRIC CRITICAL CARE GROUP OF AMERICA
LONG BEACH, CA 90806

33aNPI1295912749assigned 01/28/2008

33bProvider typePediatric Critical Care Medicine Physician

28Total paid$568K

24GClaims2,558

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Pediatric Critical Care Medicine Physician providers in California

Rank by total paid#9 of 17

Median peer was paid$568K

This provider vs. median1.0×

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	485	$98K
2019	542	$122K
2020	116	$33K
2021	397	$84K
2022	388	$94K
2023	462	$92K
2024incomplete	168	$45K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	71%	1,724	830	$405K
Z0102		23%	674	248	$128K
Z0100		4.0%	66	66	$23K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	1.8%	81	24	$10K
99292		<1%	13	12	$2K

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 officialMAGGI, J (PRESIDENT)