Physician
Children's Medical Group of Orange County Apc
Children's Medical Group of Orange County Apc was paid $389K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 96156, — 37% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP OF ORANGE COUNTY APC
ANAHEIM HILLS, CA 92807
ANAHEIM HILLS, CA 92807
33aNPI1386670974assigned 06/24/2006
33bProvider typePediatrics Physician
28Total paid$389K
24GClaims12,895
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#264 of 1,490
Median peer was paid$15K
This provider vs. median26×
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 | 928 | $28K | |
| 2019 | 1,252 | $37K | |
| 2020 | 1,833 | $71K | |
| 2021 | 2,218 | $93K | |
| 2022 | 2,206 | $94K | |
| 2023 | 2,375 | $63K | |
| 2024incomplete | 2,083 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 37% | 2,349 | 2,296 | $143K | |
| 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 | 30% | 3,832 | 3,397 | $117K |
| G9920 | Screening performed and negative | 6.9% | 1,351 | 1,334 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.2% | 1,298 | 1,192 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 499 | 492 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.9% | 283 | 275 | $15K |
| 92551 | 3.1% | 1,275 | 1,254 | $12K | |
| 96151 | 2.3% | 398 | 389 | $9K | |
| 90686 | 1.3% | 645 | 641 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 1.2% | 91 | 88 | $5K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 83 | 80 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 93 | 90 | $3K |
11 more codes
| 90670 | <1% | 178 | $2K | |
| 90698 | <1% | 160 | $1K | |
| 96150 | <1% | 28 | $646.05 | |
| 96127 | <1% | 189 | $487.79 | |
| 92552 | <1% | 15 | $233.66 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 41 | $149.80 |
| 90651 | <1% | 16 | $144.00 | |
| 90744 | <1% | 13 | $117.00 | |
| 90656 | <1% | 34 | $108.35 | |
| 85014 | <1% | 12 | $27.24 | |
| 85018 | <1% | 12 | $26.28 |
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 officialVELARDE HAIG, ESTHER (OFFICE MANAGER)