Pediatric and Family Medical Center
Pediatric and Family Medical Center was paid $14.99M by Medicaid between Jan 2018 and May 2024, across 73 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 77% of everything it billed.
33Billing provider infoPEDIATRIC AND FAMILY MEDICAL CENTER
LYNWOOD, CA 90262
LYNWOOD, CA 90262
33aNPI1407268709assigned 05/21/2014
33bProvider typeCase Manager/Care Coordinator
28Total paid$14.99M
24GClaims117,865
24DCodes billed73
24AFirst – last monthJan 2018 – May 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#119 of 435
Median peer was paid$2.89M
This provider vs. median5.2×
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 | 13,222 | $2.36M | |
| 2019 | 16,044 | $2.55M | |
| 2020 | 21,685 | $2.09M | |
| 2021 | 22,163 | $2.54M | |
| 2022 | 16,893 | $2.11M | |
| 2023 | 18,507 | $2.52M | |
| 2024incomplete | 9,351 | $821K |
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 | 77% | 59,953 | 53,255 | $11.51M |
| 00003 | Internal/system code - not a standard HCPCS code | 23% | 13,242 | 11,326 | $3.38M |
| 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% | 8,303 | 7,440 | $55K |
| 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% | 14,016 | 12,645 | $45K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,870 | 2,643 | $4K |
| 0011A | <1% | 23 | 23 | $1K | |
| 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% | 180 | 138 | $1K |
| 99221 | <1% | 31 | 30 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 54 | 44 | $439.86 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 730 | 694 | $408.89 |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 17 | 12 | $380.76 |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 102 | 96 | $283.72 |
61 more codes
| 92551 | <1% | 721 | $205.09 | |
| 90686 | <1% | 814 | $192.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 255 | $182.70 |
| 90739 | <1% | 13 | $148.67 | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,168 | $143.10 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 543 | $135.09 |
| 81025 | <1% | 80 | $128.80 | |
| 96127 | <1% | 364 | $105.67 | |
| 90670 | <1% | 613 | $81.00 | |
| 81002 | <1% | 894 | $71.50 | |
| 90647 | <1% | 408 | $63.00 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 361 | $37.82 |
| D0120 | Dental checkup, returning patient | <1% | 307 | $37.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 580 | $32.32 |
| 90723 | <1% | 437 | $27.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 34 | $18.00 |
| 90633 | <1% | 173 | $18.00 | |
| 90651 | <1% | 17 | $18.00 | |
| 90707 | <1% | 13 | $9.00 | |
| 90681 | <1% | 176 | $9.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 159 | $8.08 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 337 | $8.08 |
| 82948 | <1% | 53 | $5.36 | |
| 99173 | <1% | 1,123 | $4.52 | |
| 85018 | <1% | 33 | $2.07 | |
| 1159F | 0% | 1,173 | $0.00 | |
| 0502F | 0% | 963 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 3725F | 0% | 247 | $0.00 | |
| 1160F | 0% | 931 | $0.00 | |
| 90461 | 0% | 328 | $0.00 | |
| 3078F | 0% | 363 | $0.00 | |
| Z6400 | 0% | 180 | $0.00 | |
| Z6500 | 0% | 38 | $0.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 115 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 15 | $0.00 |
| D0274 | Bitewings - four radiographic images | 0% | 48 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 16 | $0.00 |
| 90700 | 0% | 14 | $0.00 | |
| 99401 | 0% | 25 | $0.00 | |
| D1120 | Dental cleaning, child | 0% | 59 | $0.00 |
| 3074F | 0% | 417 | $0.00 | |
| Z1034 | 0% | 1,522 | $0.00 | |
| D0210 | Intraoral - complete series of radiographic images | 0% | 14 | $0.00 |
| 3008F | 0% | 697 | $0.00 | |
| 1036F | 0% | 204 | $0.00 | |
| Z6406 | 0% | 305 | $0.00 | |
| 0501F | 0% | 48 | $0.00 | |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 552 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 131 | $0.00 |
| 97802 | 0% | 26 | $0.00 | |
| 3079F | 0% | 17 | $0.00 | |
| 99381 | 0% | 12 | $0.00 | |
| 86580 | 0% | 14 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 30 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 22 | $0.00 |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 28 | $0.00 |
| D1330 | 0% | 49 | $0.00 | |
| 85032 | 0% | 20 | $0.00 | |
| 88720 | 0% | 16 | $0.00 | |
| 1170F | 0% | 16 | $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 | Los Angeles, CA | $26.37M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.