Physician
Pediatric Partners Medical Professional Corporation
Pediatric Partners Medical Professional Corporation was paid $487K by Medicaid between Jan 2018 and Jul 2019, across 38 billing codes. Its largest line is 92552, — 28% of everything it billed.
33Billing provider infoPEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
HEMET, CA 92543
HEMET, CA 92543
33aNPI1306934492assigned 10/11/2006
33bProvider typePediatrics Physician
28Total paid$487K
24GClaims116,081
24DCodes billed38
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#232 of 1,490
Median peer was paid$15K
This provider vs. median32×
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 | 49,559 | $281K | |
| 2019 | 66,522 | $205K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92552 | 28% | 8,382 | 7,635 | $135K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 12,686 | 11,543 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 3,876 | 3,200 | $76K |
| 99381 | 7.5% | 663 | 610 | $36K | |
| 99460 | 5.4% | 501 | 494 | $26K | |
| 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 | 4.3% | 3,247 | 3,034 | $21K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 5,473 | 4,507 | $20K |
| 92567 | 2.8% | 916 | 892 | $13K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.8% | 321 | 316 | $13K |
| 88720 | 1.5% | 1,700 | 1,251 | $7K | |
| 90698 | 1.4% | 778 | 778 | $7K | |
| 90670 | 1.4% | 773 | 773 | $7K |
26 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 3,261 | $6K |
| 90680 | 1.1% | 614 | $5K | |
| 90744 | 1.0% | 564 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,685 | $4K |
| 99383 | <1% | 220 | $2K | |
| 94760 | <1% | 4,227 | $1K | |
| 90685 | <1% | 596 | $751.67 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 370 | $665.51 |
| 96127 | <1% | 4,188 | $614.72 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 464 | $597.85 |
| 99382 | <1% | 48 | $486.62 | |
| 90633 | <1% | 43 | $315.00 | |
| 99173 | <1% | 7,412 | $288.19 | |
| 99384 | <1% | 29 | $284.88 | |
| 90686 | <1% | 72 | $153.00 | |
| 90716 | <1% | 12 | $90.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25,003 | $25.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 59 | $20.76 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,269 | $9.72 |
| 81002 | <1% | 306 | $9.18 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 7,659 | $1.33 |
| 97802 | <1% | 6,962 | $1.19 | |
| 3351F | 0% | 2,392 | $0.00 | |
| 1220F | 0% | 1,415 | $0.00 | |
| 90461 | 0% | 7,844 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 51 | $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 officialMOHR, THOMAS (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Rocky Vista Health Center LLC | Parker, CO | $1.40M |
| Pediatric Partners Medical Professional Corporation | Fallbrook, CA | $152K |
| Pediatric Partners Medical Professional Corporation | Temecula, CA | $150K |
| Pediatric Partners Medical Professional Corporation | Menifee, CA | $145K |
| Pediatric Partners Medical Professional Corporation | Wildomar, CA | $102K |
| Pediatric Partners Medical Professional Corporation | Temecula, CA | $396.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.