Pediatric and Family Medical Center
Pediatric and Family Medical Center was paid $45.33M by Medicaid between Jan 2018 and Dec 2024, across 198 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 73% of everything it billed.
33Billing provider infoPEDIATRIC AND FAMILY MEDICAL CENTER
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1316044522assigned 09/20/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$45.33M
24GClaims1,271,233
24DCodes billed198
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#44 of 435
Median peer was paid$2.89M
This provider vs. median16×
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 | 183,407 | $13.69M | |
| 2019 | 215,497 | $9.53M | |
| 2020 | 176,029 | $6.89M | |
| 2021 | 179,749 | $6.28M | |
| 2022 | 159,999 | $3.84M | |
| 2023 | 182,965 | $3.86M | |
| 2024incomplete | 173,587 | $1.25M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 73% | 255,067 | 221,012 | $33.19M |
| 00003 | Internal/system code - not a standard HCPCS code | 19% | 51,793 | 36,694 | $8.53M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 294,284 | 226,082 | $643K |
| 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 | <1% | 95,190 | 74,637 | $316K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 4,367 | 2,125 | $307K |
| D8670 | Periodic orthodontic treatment visit | <1% | 840 | 840 | $272K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 2,990 | 1,589 | $227K |
| 99460 | <1% | 5,385 | 4,678 | $171K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 1,495 | 1,491 | $144K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 17,051 | 13,776 | $130K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13,971 | 10,780 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 56,780 | 43,783 | $100K |
186 more codes
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 275 | $100K |
| 99401 | <1% | 9,995 | $82K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 10,207 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 7,405 | $68K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 2,044 | $66K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 7,439 | $58K |
| 59425 | <1% | 2,146 | $55K | |
| 99462 | <1% | 2,340 | $49K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,160 | $49K |
| A4267 | Contraceptive supply, condom, male, each | <1% | 6,442 | $46K |
| 90686 | <1% | 30,089 | $34K | |
| 0011A | <1% | 465 | $30K | |
| 90670 | <1% | 11,595 | $29K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 3,747 | $28K |
| 0012A | <1% | 420 | $27K | |
| 92551 | <1% | 29,351 | $26K | |
| G0467 | Community health center visit, returning patient | <1% | 2,262 | $22K |
| 0072A | <1% | 364 | $20K | |
| 0071A | <1% | 327 | $18K | |
| 0064A | <1% | 326 | $17K | |
| 0001A | <1% | 255 | $16K | |
| 90723 | <1% | 7,641 | $16K | |
| 0004A | <1% | 252 | $14K | |
| 0002A | <1% | 222 | $14K | |
| J3490 | Unclassified drugs | <1% | 670 | $12K |
| 90647 | <1% | 5,913 | $12K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 651 | $11K |
| 90633 | <1% | 4,917 | $10K | |
| 90681 | <1% | 2,683 | $9K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,653 | $8K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 3,104 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,467 | $6K |
| 59025 | Fetal non-stress test | <1% | 669 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 5,005 | $6K |
| A4268 | Contraceptive supply, condom, female, each | <1% | 392 | $5K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 23,756 | $5K |
| 81002 | <1% | 14,343 | $5K | |
| 90716 | <1% | 1,417 | $5K | |
| 99221 | <1% | 185 | $5K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 693 | $5K |
| 90651 | <1% | 3,639 | $5K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 8,091 | $5K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,071 | $5K |
| 90707 | <1% | 1,302 | $4K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 702 | $4K |
| 90648 | <1% | 2,316 | $4K | |
| 97803 | <1% | 5,139 | $3K | |
| 90700 | <1% | 1,096 | $3K | |
| 90734 | <1% | 1,881 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 18,084 | $3K |
| S5199 | Personal care item, nos, each | <1% | 6,692 | $3K |
| 92552 | <1% | 271 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 11,721 | $3K |
| 82948 | <1% | 15,025 | $3K | |
| 0053A | <1% | 71 | $3K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 9,299 | $2K |
| 92081 | <1% | 2,233 | $2K | |
| 90715 | <1% | 1,717 | $2K | |
| 99000 | <1% | 1,404 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 358 | $2K |
| 0111A | <1% | 47 | $2K | |
| 99201 | <1% | 1,435 | $2K | |
| 0054A | <1% | 44 | $2K | |
| 90710 | <1% | 1,121 | $2K | |
| 85018 | <1% | 5,520 | $2K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 55 | $2K |
| 90696 | <1% | 1,118 | $2K | |
| 0081A | <1% | 25 | $2K | |
| 81025 | <1% | 5,518 | $2K | |
| D0470 | <1% | 19 | $1K | |
| 99173 | <1% | 24,110 | $1K | |
| 92015 | Determination of refractive state | <1% | 10,976 | $1K |
| 99381 | <1% | 503 | $1K | |
| 0082A | <1% | 17 | $1K | |
| 96151 | <1% | 997 | $1K | |
| 0074A | <1% | 18 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 309 | $1K |
| H1002 | Prenatal care, at risk enhanced service; care coordination | <1% | 1,258 | $672.70 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,082 | $642.72 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,186 | $623.66 |
| D0140 | Limited oral evaluation - problem focused | <1% | 17 | $595.00 |
| 90620 | <1% | 1,074 | $594.00 | |
| S4993 | Contraceptive pills for birth control | <1% | 86 | $588.20 |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $584.87 |
| 90685 | <1% | 250 | $438.00 | |
| D0330 | Panoramic radiographic image | <1% | 13 | $390.00 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 82 | $357.70 |
| 90619 | <1% | 764 | $324.00 | |
| 90461 | <1% | 6,975 | $250.48 | |
| 90688 | <1% | 206 | $234.99 | |
| 90662 | <1% | 29 | $220.00 | |
| 90744 | <1% | 25 | $198.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,018 | $193.98 |
| 90621 | <1% | 134 | $180.00 | |
| 88720 | <1% | 1,591 | $171.74 | |
| D0120 | Dental checkup, returning patient | <1% | 337 | $140.00 |
| 92227 | <1% | 562 | $132.10 | |
| H1000 | Prenatal care, at-risk assessment | <1% | 211 | $125.05 |
| 99490 | Ccm add 20min | <1% | 22 | $109.86 |
| 17110 | <1% | 13 | $99.78 | |
| 96127 | <1% | 6,420 | $90.84 | |
| 86580 | <1% | 390 | $89.99 | |
| 93000 | <1% | 98 | $85.23 | |
| 0503F | <1% | 381 | $66.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 412 | $63.90 |
| D0274 | Bitewings - four radiographic images | <1% | 19 | $61.20 |
| 0501F | <1% | 812 | $60.00 | |
| 86403 | <1% | 445 | $55.32 | |
| 99383 | <1% | 52 | $54.28 | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 67 | $45.00 |
| 0500F | <1% | 469 | $40.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $33.96 |
| 85013 | <1% | 631 | $30.15 | |
| S9452 | Nutrition classes, non-physician provider, per session | <1% | 266 | $24.99 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 297 | $22.59 |
| 90750 | <1% | 721 | $20.00 | |
| 96152 | <1% | 126 | $16.34 | |
| 90689 | <1% | 109 | $15.00 | |
| 90677 | <1% | 514 | $9.00 | |
| 82962 | <1% | 1,537 | $7.96 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 800 | $6.99 |
| 94760 | <1% | 26 | $5.53 | |
| 0502F | 0% | 17,192 | $0.00 | |
| 3078F | 0% | 6,571 | $0.00 | |
| D9430 | 0% | 22 | $0.00 | |
| 3725F | 0% | 4,985 | $0.00 | |
| 1160F | 0% | 5,867 | $0.00 | |
| 1159F | 0% | 8,504 | $0.00 | |
| 2022F | 0% | 94 | $0.00 | |
| 94060 | 0% | 54 | $0.00 | |
| Z0316 | 0% | 24 | $0.00 | |
| 90661 | 0% | 815 | $0.00 | |
| 87400 | 0% | 451 | $0.00 | |
| 96158 | 0% | 231 | $0.00 | |
| T1017 | Case management, billed per 15 minutes | 0% | 56 | $0.00 |
| 3077F | 0% | 57 | $0.00 | |
| 90687 | 0% | 156 | $0.00 | |
| 90746 | 0% | 221 | $0.00 | |
| H0046 | Mental health services, not otherwise specified | 0% | 336 | $0.00 |
| 82274 | 0% | 37 | $0.00 | |
| 83655 | 0% | 39 | $0.00 | |
| 87210 | 0% | 28 | $0.00 | |
| 2026F | 0% | 25 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 65 | $0.00 |
| 96159 | 0% | 27 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 12 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 522 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 14 | $0.00 |
| 96156 | 0% | 3,033 | $0.00 | |
| S9446 | Patient education, not otherwise classified, non-physician provider, group, per session | 0% | 2,907 | $0.00 |
| 3008F | 0% | 12,286 | $0.00 | |
| 3074F | 0% | 6,914 | $0.00 | |
| 1036F | 0% | 4,843 | $0.00 | |
| 90674 | 0% | 420 | $0.00 | |
| Z1034 | 0% | 149 | $0.00 | |
| 3075F | 0% | 66 | $0.00 | |
| 2023F | 0% | 1,191 | $0.00 | |
| 3079F | 0% | 386 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 127 | $0.00 |
| 90656 | 0% | 606 | $0.00 | |
| 92250 | 0% | 597 | $0.00 | |
| D1330 | 0% | 12 | $0.00 | |
| 90739 | 0% | 210 | $0.00 | |
| 90694 | 0% | 45 | $0.00 | |
| 99384 | 0% | 57 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 30 | $0.00 |
| 59430 | 0% | 551 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 58 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 143 | $0.00 |
| 97802 | 0% | 576 | $0.00 | |
| Z6410 | 0% | 665 | $0.00 | |
| 90480 | 0% | 21 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 28 | $0.00 |
| 99172 | 0% | 136 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 12 | $0.00 |
| 99403 | 0% | 29 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 75 | $0.00 |
| 92567 | 0% | 36 | $0.00 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | 0% | 46 | $0.00 |
| 96161 | 0% | 81 | $0.00 | |
| 99441 | 0% | 68 | $0.00 | |
| 85032 | 0% | 223 | $0.00 | |
| 90657 | 0% | 103 | $0.00 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | 0% | 70 | $0.00 |
| 92002 | 0% | 18 | $0.00 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 13 | $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 officialMCCARTHY, MONICA (SR VP, COO & INTERIM-CEO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric and Family Medical Center | Sherman Oaks, CA | $71.67M |
| Pediatric and Family Medical Center | Los Angeles, CA | $39.58M |
| Pediatric and Family Medical Center | Los Angeles, CA | $26.37M |
| Pediatric and Family Medical Center | Lynwood, CA | $14.99M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.