Physician
Central Pediatrics Medical Group
Central Pediatrics Medical Group was paid $201K by Medicaid between Jan 2018 and Nov 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoCENTRAL PEDIATRICS MEDICAL GROUP
CHINO, CA 91710
CHINO, CA 91710
33aNPI1396777843assigned 07/07/2006
33bProvider typePediatrics Physician
28Total paid$201K
24GClaims72,548
24DCodes billed58
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#359 of 1,490
Median peer was paid$15K
This provider vs. median13×
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 | 5,957 | $24K | |
| 2019 | 13,431 | $48K | |
| 2020 | 9,227 | $21K | |
| 2021 | 9,979 | $34K | |
| 2022 | 10,244 | $20K | |
| 2023 | 11,776 | $25K | |
| 2024incomplete | 11,934 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 16,746 | 14,861 | $53K |
| 92552 | 17% | 3,233 | 3,218 | $34K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 2,880 | 2,874 | $16K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.0% | 2,832 | 2,826 | $14K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 771 | 747 | $12K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.9% | 1,876 | 1,857 | $10K |
| 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 | 4.6% | 1,329 | 1,268 | $9K |
| 97803 | 3.4% | 6,462 | 6,439 | $7K | |
| 90686 | 3.1% | 2,300 | 2,290 | $6K | |
| 96156 | 2.0% | 2,328 | 2,327 | $4K | |
| 90734 | 1.7% | 627 | 622 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 269 | 269 | $3K |
46 more codes
| 90620 | 1.6% | 493 | $3K | |
| 90670 | 1.2% | 672 | $2K | |
| 97802 | 1.1% | 299 | $2K | |
| 90700 | 1.0% | 672 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,487 | $2K |
| 90651 | <1% | 617 | $2K | |
| 99383 | <1% | 69 | $2K | |
| 90713 | <1% | 406 | $1K | |
| 99381 | <1% | 13 | $1K | |
| 90716 | <1% | 452 | $998.91 | |
| 90680 | <1% | 157 | $917.91 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 280 | $906.21 |
| 90707 | <1% | 412 | $896.91 | |
| 99382 | <1% | 24 | $735.94 | |
| 90649 | <1% | 451 | $703.07 | |
| 90677 | <1% | 83 | $674.55 | |
| 90744 | <1% | 116 | $671.23 | |
| 90715 | <1% | 180 | $615.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 272 | $572.25 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 71 | $558.54 |
| 90633 | <1% | 299 | $509.73 | |
| 90698 | <1% | 177 | $486.00 | |
| 90647 | <1% | 97 | $356.82 | |
| 90674 | <1% | 52 | $262.33 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 99 | $233.71 |
| 83655 | <1% | 184 | $227.15 | |
| 90648 | <1% | 74 | $197.82 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 100 | $179.70 |
| G9920 | Screening performed and negative | <1% | 1,159 | $171.00 |
| 90619 | <1% | 255 | $140.73 | |
| 99442 | <1% | 413 | $139.14 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 450 | $124.00 |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,008 | $118.80 |
| 99443 | <1% | 91 | $103.09 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 6,163 | $90.09 |
| 99406 | <1% | 130 | $42.27 | |
| 90655 | <1% | 15 | $27.00 | |
| 99173 | <1% | 2,000 | $7.50 | |
| H0049 | Alcohol and/or drug screening | 0% | 1,233 | $0.00 |
| 3008F | 0% | 7,721 | $0.00 | |
| 1220F | 0% | 348 | $0.00 | |
| 99441 | 0% | 20 | $0.00 | |
| 1036F | 0% | 428 | $0.00 | |
| 3351F | 0% | 54 | $0.00 | |
| G8511 | Screening for depression documented as positive, follow-up plan not documented, reason not given | 0% | 14 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 85 | $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 officialLIM, CAROLYNE (OWNER)