Physician
Goldstar Pediatrics PC
Goldstar Pediatrics PC was paid $412K by Medicaid between Jan 2018 and Jul 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
33Billing provider infoGOLDSTAR PEDIATRICS PC
FONTANA, CA 92336
FONTANA, CA 92336
33aNPI1427420009assigned 10/22/2015
33bProvider typePediatrics Physician
28Total paid$412K
24GClaims20,790
24DCodes billed31
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#259 of 1,490
Median peer was paid$15K
This provider vs. median27×
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 | 3,519 | $81K | |
| 2019 | 3,764 | $84K | |
| 2020 | 2,688 | $54K | |
| 2021 | 2,744 | $53K | |
| 2022 | 2,818 | $56K | |
| 2023 | 3,388 | $57K | |
| 2024incomplete | 1,869 | $27K |
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 | 20% | 3,258 | 3,019 | $84K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 16% | 1,122 | 819 | $67K |
| 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 | 15% | 1,555 | 1,440 | $63K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 1,449 | 1,405 | $54K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 990 | 984 | $43K |
| 92552 | 8.2% | 2,148 | 2,127 | $34K | |
| 90686 | 3.9% | 1,825 | 1,810 | $16K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 277 | 269 | $12K |
| 96127 | 2.7% | 2,396 | 1,908 | $11K | |
| 85018 | 1.4% | 2,944 | 2,893 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 233 | 228 | $5K |
| 99188 | 1.1% | 244 | 233 | $4K |
19 more codes
| 90670 | <1% | 248 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 38 | $2K |
| G9920 | Screening performed and negative | <1% | 436 | $1K |
| 99000 | <1% | 336 | $1K | |
| 0071A | <1% | 30 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 78 | $826.02 |
| 0072A | <1% | 18 | $720.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 78 | $679.34 |
| 99177 | <1% | 52 | $648.44 | |
| 90698 | <1% | 60 | $540.00 | |
| 90633 | <1% | 30 | $491.39 | |
| 99173 | <1% | 204 | $448.64 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13 | $212.29 |
| 87999 | <1% | 29 | $150.80 | |
| 99406 | <1% | 13 | $134.03 | |
| 90744 | <1% | 13 | $117.00 | |
| 90680 | <1% | 12 | $108.00 | |
| 96160 | 0% | 648 | $0.00 | |
| 4004F | 0% | 13 | $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 officialTACKIE, IRMGARD (PHYSICIAN/CEO)