Pediatric Cardiology Medical Assoc. of So. California
Pediatric Cardiology Medical Assoc. of So. California was paid $7.29M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 36% of everything it billed.
33Billing provider infoPEDIATRIC CARDIOLOGY MEDICAL ASSOC. OF SO. CALIFORNIA
ENCINO, CA 91316
ENCINO, CA 91316
33aNPI1386665511assigned 07/22/2006
33bProvider typeSpecialist
28Total paid$7.29M
24GClaims105,227
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#28 of 1,230
Median peer was paid$51K
This provider vs. median142×
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 | 13,842 | $1.00M | |
| 2019 | 17,481 | $1.22M | |
| 2020 | 13,651 | $960K | |
| 2021 | 15,397 | $1.07M | |
| 2022 | 15,451 | $1.04M | |
| 2023 | 16,624 | $1.16M | |
| 2024incomplete | 12,781 | $826K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 36% | 22,553 | 21,551 | $2.65M |
| 93320 | 18% | 22,085 | 21,165 | $1.31M | |
| 93325 | 18% | 22,959 | 21,965 | $1.28M | |
| 93000 | 6.8% | 19,197 | 18,847 | $492K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 6.4% | 4,063 | 3,814 | $463K |
| 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 | 6.3% | 4,984 | 4,771 | $460K |
| 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 | 2.7% | 3,021 | 3,013 | $195K |
| 99245 | 2.2% | 1,708 | 1,699 | $157K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.1% | 1,777 | 1,769 | $156K |
| 99205 | Prolong outpt/office vis | 1.6% | 1,296 | 1,296 | $114K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 1,572 | 1,516 | $12K |
| 99072 | <1% | 12 | 12 | $24.00 |
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 officialMERCADO, CRISTINA (OFFICE MANAGER)