Physician
Carmichael Pediatric Medical Group, INC.
Carmichael Pediatric Medical Group, INC. was paid $696K by Medicaid between Jan 2018 and Feb 2022, across 58 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 14% of everything it billed.
33Billing provider infoCARMICHAEL PEDIATRIC MEDICAL GROUP, INC.
CARMICHAEL, CA 95608
CARMICHAEL, CA 95608
33aNPI1407032816assigned 01/15/2008
33bProvider typePediatrics Physician
28Total paid$696K
24GClaims154,952
24DCodes billed58
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#172 of 1,490
Median peer was paid$15K
This provider vs. median46×
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 | 25,434 | $252K | |
| 2019 | 44,781 | $153K | |
| 2020 | 36,611 | $112K | |
| 2021 | 43,438 | $151K | |
| 2022 | 4,688 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 3,465 | 3,333 | $96K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 5,357 | 5,211 | $93K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 9,274 | 8,380 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 3,321 | 3,212 | $75K |
| 90670 | 7.3% | 3,175 | 3,095 | $51K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 4,347 | 4,173 | $26K |
| 90710 | 3.7% | 1,160 | 1,126 | $26K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 822 | 802 | $23K |
| 90651 | 3.2% | 755 | 732 | $22K | |
| 99383 | 3.1% | 345 | 284 | $22K | |
| G9920 | Screening performed and negative | 2.8% | 6,784 | 6,730 | $20K |
| 96156 | 2.6% | 7,969 | 7,898 | $18K |
46 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,085 | $17K |
| 99381 | 2.0% | 319 | $14K | |
| 90716 | 1.6% | 634 | $11K | |
| 80061 | Lipid panel | 1.4% | 8,932 | $10K |
| 92551 | 1.3% | 7,342 | $9K | |
| 97802 | 1.0% | 11,269 | $7K | |
| 99382 | <1% | 143 | $7K | |
| 90698 | <1% | 2,465 | $6K | |
| 96111 | <1% | 1,811 | $6K | |
| 90744 | <1% | 1,970 | $5K | |
| 90680 | <1% | 1,703 | $5K | |
| 96150 | <1% | 6,809 | $4K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 11,550 | $4K |
| 99460 | <1% | 79 | $4K | |
| 90686 | <1% | 2,600 | $4K | |
| 96112 | <1% | 8,965 | $4K | |
| 99401 | <1% | 10,897 | $3K | |
| 99384 | <1% | 57 | $3K | |
| 90734 | <1% | 549 | $3K | |
| D0120 | Dental checkup, returning patient | <1% | 11,009 | $3K |
| 90620 | <1% | 145 | $3K | |
| 99173 | <1% | 6,811 | $2K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 63 | $2K |
| 0072A | <1% | 53 | $2K | |
| 90633 | <1% | 1,949 | $1K | |
| 90685 | <1% | 921 | $1K | |
| D1206 | Topical application of fluoride varnish | <1% | 612 | $1K |
| 0071A | <1% | 59 | $948.64 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 273 | $875.16 |
| 90715 | <1% | 301 | $781.08 | |
| 83655 | <1% | 1,202 | $690.33 | |
| 90700 | <1% | 998 | $632.43 | |
| H0049 | Alcohol and/or drug screening | <1% | 1,848 | $628.46 |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 50 | $459.29 |
| 90696 | <1% | 873 | $439.29 | |
| 90707 | <1% | 566 | $315.54 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 439 | $310.24 |
| 90648 | <1% | 575 | $234.00 | |
| 90658 | <1% | 42 | $219.57 | |
| 0001A | <1% | 15 | $50.82 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 17 | $38.28 |
| 86580 | <1% | 23 | $6.66 | |
| 81002 | <1% | 29 | $3.83 | |
| 91300 | 0% | 22 | $0.00 | |
| 91301 | 0% | 13 | $0.00 | |
| 99050 | 0% | 91 | $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 officialKHAIRA, RAVINDER (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Land Park Pediatric Medical Group | Sacramento, CA | $300K |
| Pocket Pediatrics, INC. | Sacramento, CA | $91K |
| 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.