NP / PA
Sacramento Valley Pediatrics Medical Group INC
Sacramento Valley Pediatrics Medical Group INC was paid $44K by Medicaid between Jan 2024 and Oct 2024, across 27 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 30% of everything it billed.
33Billing provider infoSACRAMENTO VALLEY PEDIATRICS MEDICAL GROUP INC
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1326583030assigned 01/04/2017
33bProvider typePediatric Nurse Practitioner
28Total paid$44K
24GClaims4,942
24DCodes billed27
24AFirst – last monthJan 2024 – Oct 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in California
Rank by total paid#2 of 14
Median peer was paid$252.50
This provider vs. median176×
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 | |
|---|---|---|---|
| 2024incomplete | 4,942 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 30% | 661 | 654 | $13K |
| 97802 | 16% | 659 | 652 | $7K | |
| 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 | 16% | 525 | 488 | $7K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 593 | 557 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 264 | 261 | $3K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 140 | 140 | $2K |
| 92552 | 3.5% | 264 | 261 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 62 | 62 | $828.72 |
| 90686 | 1.7% | 125 | 121 | $760.60 | |
| 90677 | 1.5% | 129 | 128 | $646.00 | |
| 90633 | 1.1% | 116 | 113 | $492.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 17 | 17 | $381.49 |
15 more codes
| 90716 | <1% | 96 | $351.00 | |
| 90723 | <1% | 65 | $348.00 | |
| 90647 | <1% | 62 | $284.00 | |
| 85018 | <1% | 312 | $240.87 | |
| 90680 | <1% | 29 | $187.00 | |
| 81000 | <1% | 163 | $154.47 | |
| 90707 | <1% | 42 | $152.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21 | $124.44 |
| 90700 | <1% | 28 | $63.00 | |
| 86580 | <1% | 14 | $28.24 | |
| 90651 | <1% | 13 | $18.00 | |
| 99173 | 0% | 157 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 298 | $0.00 |
| 99174 | 0% | 13 | $0.00 | |
| 99172 | 0% | 74 | $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 officialMAULINO, PERLA-INEZ (MEDICAL DIRECTOR)