Pediatric and Family Medical Center
Pediatric and Family Medical Center was paid $26.37M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
33Billing provider infoPEDIATRIC AND FAMILY MEDICAL CENTER
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1386934875assigned 04/18/2011
33bProvider typeCase Manager/Care Coordinator
28Total paid$26.37M
24GClaims191,095
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#79 of 435
Median peer was paid$2.89M
This provider vs. median9.1×
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 | 13,787 | $2.84M | |
| 2019 | 15,366 | $2.42M | |
| 2020 | 28,777 | $3.61M | |
| 2021 | 30,548 | $3.87M | |
| 2022 | 25,541 | $3.75M | |
| 2023 | 36,397 | $5.47M | |
| 2024incomplete | 40,679 | $4.41M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 88% | 102,089 | 95,017 | $23.11M |
| 00003 | Internal/system code - not a standard HCPCS code | 12% | 11,264 | 9,792 | $3.11M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,692 | 926 | $39K |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 1,060 | 877 | $34K |
| 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% | 36,611 | 35,292 | $25K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 3,307 | 1,977 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,279 | 4,149 | $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 | <1% | 10,344 | 10,034 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 100 | 100 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 206 | 203 | $2K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 190 | 123 | $2K |
| 0002A | <1% | 17 | 17 | $1K |
50 more codes
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 53 | $1K |
| 0001A | <1% | 15 | $971.50 | |
| 92551 | <1% | 400 | $747.32 | |
| 99460 | <1% | 564 | $452.32 | |
| 85018 | <1% | 162 | $295.20 | |
| 90686 | <1% | 1,204 | $200.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 73 | $163.05 |
| 90670 | <1% | 16 | $144.00 | |
| 99462 | <1% | 422 | $132.08 | |
| 90633 | <1% | 14 | $126.00 | |
| 90647 | <1% | 13 | $117.00 | |
| 96127 | <1% | 319 | $38.00 | |
| 90661 | <1% | 105 | $29.48 | |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | <1% | 13 | $21.07 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 455 | $19.80 |
| 99173 | <1% | 424 | $8.06 | |
| 82948 | <1% | 1,632 | $8.04 | |
| 1036F | 0% | 1,877 | $0.00 | |
| 3008F | 0% | 2,913 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 544 | $0.00 |
| 3074F | 0% | 1,917 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 109 | $0.00 |
| 3075F | 0% | 29 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $0.00 |
| 90674 | 0% | 43 | $0.00 | |
| 90656 | 0% | 17 | $0.00 | |
| 3079F | 0% | 70 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 26 | $0.00 |
| 90677 | 0% | 21 | $0.00 | |
| 97802 | 0% | 29 | $0.00 | |
| D0120 | Dental checkup, returning patient | 0% | 15 | $0.00 |
| 99000 | 0% | 12 | $0.00 | |
| 99384 | 0% | 15 | $0.00 | |
| 1159F | 0% | 1,476 | $0.00 | |
| 3725F | 0% | 421 | $0.00 | |
| 3078F | 0% | 1,817 | $0.00 | |
| 90662 | 0% | 29 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 211 | $0.00 |
| 1160F | 0% | 1,129 | $0.00 | |
| 90461 | 0% | 54 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 56 | $0.00 |
| 90750 | 0% | 26 | $0.00 | |
| 92081 | 0% | 16 | $0.00 | |
| 3077F | 0% | 25 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 24 | $0.00 |
| 99401 | 0% | 29 | $0.00 | |
| 81002 | 0% | 32 | $0.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | 0% | 27 | $0.00 |
| 90715 | 0% | 14 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 14 | $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 officialMCCARTHY, MONICA (SR VP, COO & INTERIM-CEO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric and Family Medical Center | Sherman Oaks, CA | $71.67M |
| Pediatric and Family Medical Center | Los Angeles, CA | $45.33M |
| Pediatric and Family Medical Center | Los Angeles, CA | $39.58M |
| Pediatric and Family Medical Center | Lynwood, CA | $14.99M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.