Physician
Pediatrix Medical Group of California, a Professional Corporation
Pediatrix Medical Group of California, a Professional Corporation was paid $10.85M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is Z0104, — 25% of everything it billed.
33Billing provider infoPEDIATRIX MEDICAL GROUP OF CALIFORNIA, A PROFESSIONAL CORPORATION
SUNRISE, FL 33323
SUNRISE, FL 33323
33aNPI1316041833assigned 09/13/2006
33bProvider typePediatrics Physician
28Total paid$10.85M
24GClaims116,437
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Florida
Rank by total paid#17 of 971
Median peer was paid$238K
This provider vs. median46×
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 | 30,587 | $3.68M | |
| 2019 | 24,043 | $2.27M | |
| 2020 | 16,460 | $1.38M | |
| 2021 | 13,510 | $1.14M | |
| 2022 | 10,562 | $759K | |
| 2023 | 12,025 | $979K | |
| 2024incomplete | 9,250 | $655K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Z0104 | 25% | 18,653 | 6,052 | $2.67M | |
| 99480 | Subsequent intensive care, per day, low birth weight infant | 23% | 20,726 | 7,051 | $2.51M |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | 13% | 10,885 | 3,246 | $1.44M |
| Z0102 | 11% | 6,214 | 1,950 | $1.23M | |
| 99460 | 6.9% | 18,158 | 18,099 | $753K | |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 3.5% | 1,911 | 621 | $376K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.1% | 6,324 | 3,296 | $337K |
| 99239 | Hospital discharge day management, more than 30 minutes | 3.0% | 7,014 | 6,957 | $327K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.2% | 8,089 | 8,039 | $244K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.8% | 4,073 | 2,187 | $196K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.4% | 2,051 | 2,025 | $153K |
| 99462 | 1.3% | 6,302 | 5,234 | $142K |
24 more codes
| Z0106 | 1.1% | 1,549 | $114K | |
| 99464 | <1% | 1,751 | $106K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 466 | $82K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,002 | $78K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 110 | $35K |
| Z0100 | <1% | 73 | $27K | |
| 99477 | <1% | 68 | $18K | |
| 92586 | <1% | 162 | $9K | |
| 99471 | <1% | 26 | $8K | |
| 99468 | <1% | 12 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 64 | $4K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 38 | $1K |
| Z0108 | <1% | 13 | $336.07 | |
| 1159F | 0% | 162 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 164 | $0.00 |
| 1160F | 0% | 14 | $0.00 | |
| 3078F | 0% | 76 | $0.00 | |
| 99499 | 0% | 13 | $0.00 | |
| 99173 | 0% | 16 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
| 3008F | 0% | 53 | $0.00 | |
| 3074F | 0% | 77 | $0.00 | |
| 1126F | 0% | 101 | $0.00 | |
| 92551 | 0% | 15 | $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 officialSANTANA, MICHAEL (ASSISTANT SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Magella Medical Group, INC. | Long Beach, CA | $4.19M |
| Obstetrix Medical Group of Sacramento, P.C. | Orange, CA | $2.54M |
| Obstetrix Medical Group of California, a Professional Corporation | Campbell, CA | $816K |
| Signature Health Care of Montclair LLC | Montclair, NJ | $679K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.