Clinic
Newport Children's Medical Group
Newport Children's Medical Group was paid $3.46M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoNEWPORT CHILDREN'S MEDICAL GROUP
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92660
33aNPI1356328330assigned 12/29/2005
33bProvider typePrimary Care Clinic/Center
28Total paid$3.46M
24GClaims95,939
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#26 of 422
Median peer was paid$25K
This provider vs. median141×
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 | 6,278 | $141K | |
| 2019 | 820 | $35K | |
| 2020 | 588 | $24K | |
| 2021 | 1,161 | $48K | |
| 2022 | 1,713 | $78K | |
| 2023 | 41,409 | $1.73M | |
| 2024incomplete | 43,970 | $1.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 19,920 | 15,642 | $862K |
| 96156 | 25% | 10,012 | 9,802 | $862K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 18% | 10,717 | 10,534 | $629K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.3% | 4,227 | 4,099 | $251K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 3,049 | 2,996 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.0% | 2,323 | 2,288 | $140K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 1,542 | 1,509 | $104K |
| 94060 | 2.8% | 2,020 | 1,975 | $97K | |
| 92551 | 1.9% | 5,497 | 5,403 | $67K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 2,588 | 2,299 | $46K |
| 99381 | 1.2% | 518 | 500 | $43K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 226 | 224 | $20K |
43 more codes
| 90698 | <1% | 1,778 | $15K | |
| 95012 | <1% | 726 | $15K | |
| 97802 | <1% | 4,701 | $13K | |
| 90686 | <1% | 1,021 | $9K | |
| 90744 | <1% | 963 | $8K | |
| 99383 | <1% | 81 | $6K | |
| 90716 | <1% | 710 | $6K | |
| 90707 | <1% | 734 | $6K | |
| 90677 | <1% | 860 | $6K | |
| 90633 | <1% | 584 | $5K | |
| 90681 | <1% | 551 | $5K | |
| 90670 | <1% | 500 | $5K | |
| 94760 | <1% | 2,200 | $4K | |
| 90651 | <1% | 410 | $4K | |
| 0071A | <1% | 103 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 51 | $4K |
| 90671 | <1% | 515 | $4K | |
| 0072A | <1% | 92 | $4K | |
| 90680 | <1% | 391 | $3K | |
| 90619 | <1% | 365 | $3K | |
| 99384 | <1% | 26 | $3K | |
| 99173 | <1% | 3,752 | $3K | |
| 90696 | <1% | 302 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 118 | $2K |
| 99382 | <1% | 25 | $2K | |
| 90620 | <1% | 194 | $2K | |
| 90715 | <1% | 225 | $2K | |
| 90658 | <1% | 185 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 22 | $863.28 |
| G9920 | Screening performed and negative | <1% | 26 | $754.00 |
| 99188 | <1% | 118 | $538.00 | |
| 85018 | <1% | 236 | $536.97 | |
| 85999 | <1% | 126 | $379.26 | |
| 96127 | <1% | 1,469 | $374.26 | |
| 90685 | <1% | 25 | $225.00 | |
| 81000 | <1% | 59 | $171.98 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 12 | $167.78 |
| 90700 | <1% | 18 | $36.00 | |
| 87430 | <1% | 13 | $25.95 | |
| 99172 | 0% | 1,176 | $0.00 | |
| 99050 | 0% | 3,022 | $0.00 | |
| 96161 | 0% | 236 | $0.00 | |
| 96160 | 0% | 4,579 | $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 officialGILLIARD, DERON (HEALTH ADMINISTRATOR)