Pocket Pediatrics, INC.
Pocket Pediatrics, INC. was paid $91K by Medicaid between Jan 2018 and May 2020, across 38 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 19% of everything it billed.
SACRAMENTO, CA 95822
Next to other Pediatric Adolescent Medicine Physician providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,028 | $88K | |
| 2019 | 19,750 | $3K | |
| 2020 | 5,607 | $0.00 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 1,112 | 1,035 | $17K |
| 90670 | 17% | 729 | 682 | $15K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 527 | 499 | $14K |
| 99401 | 5.6% | 3,524 | 3,265 | $5K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 535 | 501 | $5K |
| 96111 | 4.8% | 1,074 | 837 | $4K | |
| 97802 | 4.4% | 3,511 | 3,248 | $4K | |
| 99173 | 4.4% | 1,511 | 1,396 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 4,213 | 3,928 | $4K |
| 80061 | Lipid panel | 3.5% | 1,982 | 1,854 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.5% | 228 | 212 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.5% | 3,538 | 3,277 | $2K |
26 more codes
| 90651 | 2.1% | 73 | $2K | |
| 96150 | 1.7% | 3,128 | $2K | |
| 92551 | 1.5% | 1,522 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.3% | 3,534 | $1K |
| H0049 | Alcohol and/or drug screening | 1.2% | 474 | $1K |
| 90648 | <1% | 728 | $844.88 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 68 | $737.80 |
| 90686 | <1% | 669 | $469.91 | |
| 99385 | <1% | 65 | $250.59 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 275 | $164.80 |
| 90723 | <1% | 364 | $163.27 | |
| 96112 | <1% | 2,528 | $118.80 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 20 | $79.56 |
| 90633 | <1% | 227 | $27.27 | |
| 90685 | <1% | 189 | $9.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90734 | 0% | 25 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 165 | $0.00 |
| 83655 | 0% | 116 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90680 | 0% | 167 | $0.00 | |
| 96156 | 0% | 472 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 15 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| 99386 | 0% | 12 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Carmichael Pediatric Medical Group, INC. | Carmichael, CA | $696K |
| Land Park Pediatric Medical Group | Sacramento, CA | $300K |
| East Sacramento Pediatric Medical Group INC | Sacramento, CA | $215.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.