Pacific Pediatric Cardiology Medical Group INC

Pacific Pediatric Cardiology Medical Group INC was paid $15.14M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 33% of everything it billed.

33Billing provider infoPACIFIC PEDIATRIC CARDIOLOGY MEDICAL GROUP INC
PASADENA, CA 91105

33aNPI1396720371assigned 12/13/2005

33bProvider typePediatric Cardiology Physician

28Total paid$15.14M

24GClaims252,230

24DCodes billed21

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatric Cardiology Physician providers in California

Rank by total paid#1 of 45

Median peer was paid$120K

This provider vs. median126×

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	35,444	$2.00M
2019	39,602	$2.38M
2020	33,202	$2.06M
2021	36,053	$2.09M
2022	36,034	$2.00M
2023	40,823	$2.50M
2024incomplete	31,072	$2.11M

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	33%	49,323	47,731	$5.04M
93320		17%	50,819	49,192	$2.61M
93325		15%	50,956	49,299	$2.27M
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	12%	19,503	18,439	$1.82M
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	11%	17,863	17,745	$1.65M
93000		6.1%	43,380	42,878	$917K
99233	Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m	1.7%	3,831	1,170	$254K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	1.2%	1,708	1,675	$186K
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	<1%	9,222	8,695	$83K
99205	Prolong outpt/office vis	<1%	710	710	$70K
Z4306		<1%	1,183	1,171	$59K
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%	582	543	$40K

9 more codes

99232	Hospital visit by a doctor, follow-up day	<1%	556	$31K
76825		<1%	504	$27K
99203	Doctor's office visit, new patient (routine)	<1%	406	$26K
93531		<1%	12	$18K
76827		<1%	518	$18K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	172	$8K
94760		<1%	928	$7K
93224		<1%	29	$2K
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	25	$124.15

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 officialBURKE, LENNIS (PRESIDENT)