Valle Verde Pediatrics Medical Group
Valle Verde Pediatrics Medical Group was paid $158K by Medicaid between Jan 2018 and Dec 2024, across 42 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoVALLE VERDE PEDIATRICS MEDICAL GROUP
POWAY, CA 92064
POWAY, CA 92064
33aNPI1326131079assigned 10/02/2006
33bProvider typeSpecialist
28Total paid$158K
24GClaims45,724
24DCodes billed42
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#460 of 1,230
Median peer was paid$51K
This provider vs. median3.1×
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 | 7,047 | $38K | |
| 2019 | 7,400 | $42K | |
| 2020 | 5,343 | $25K | |
| 2021 | 5,616 | $19K | |
| 2022 | 6,326 | $11K | |
| 2023 | 7,644 | $14K | |
| 2024incomplete | 6,348 | $9K |
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 | 53% | 12,006 | 10,950 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 644 | 600 | $28K |
| 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 | 7.4% | 934 | 894 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 1,427 | 1,415 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 1,854 | 1,850 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.8% | 2,020 | 1,890 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.2% | 1,452 | 1,449 | $4K |
| 92551 | 1.1% | 3,720 | 3,715 | $2K | |
| 90651 | <1% | 258 | 255 | $1K | |
| 90688 | <1% | 183 | 179 | $1K | |
| 90686 | <1% | 2,213 | 2,203 | $1K | |
| 90670 | <1% | 405 | 401 | $922.50 |
30 more codes
| 90680 | <1% | 96 | $808.24 | |
| 90716 | <1% | 133 | $507.00 | |
| 90698 | <1% | 126 | $467.91 | |
| 96127 | <1% | 1,693 | $304.89 | |
| 99000 | <1% | 1,813 | $218.99 | |
| 90620 | <1% | 13 | $167.70 | |
| 94760 | <1% | 1,420 | $156.25 | |
| 81002 | <1% | 2,298 | $142.93 | |
| 90677 | <1% | 41 | $99.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 424 | $75.77 |
| 90707 | <1% | 26 | $54.00 | |
| 85018 | <1% | 112 | $36.56 | |
| 90734 | <1% | 100 | $36.00 | |
| 90700 | <1% | 71 | $36.00 | |
| 99173 | <1% | 3,625 | $31.83 | |
| 90633 | <1% | 28 | $27.00 | |
| 90685 | <1% | 17 | $27.00 | |
| 90715 | <1% | 46 | $27.00 | |
| 86580 | <1% | 16 | $9.99 | |
| 90713 | <1% | 12 | $9.00 | |
| 90656 | <1% | 146 | $9.00 | |
| 83655 | <1% | 14 | $7.66 | |
| 96160 | 0% | 6,110 | $0.00 | |
| 92552 | 0% | 36 | $0.00 | |
| 69210 | 0% | 38 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 16 | $0.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 12 | $0.00 |
| 90619 | 0% | 88 | $0.00 | |
| 36416 | 0% | 25 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 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 officialRENDLER, NATHAN (PRESIDENT)