Physician
Pediatric & Adult Medicine, INC.
Pediatric & Adult Medicine, INC. was paid $339K by Medicaid between Jan 2018 and Nov 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoPEDIATRIC & ADULT MEDICINE, INC.
TUSTIN, CA 92780
TUSTIN, CA 92780
33aNPI1437216926assigned 01/03/2007
33bProvider typePediatrics Physician
28Total paid$339K
24GClaims13,344
24DCodes billed37
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#292 of 1,490
Median peer was paid$15K
This provider vs. median23×
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 | 6,440 | $161K | |
| 2019 | 6,766 | $178K | |
| 2024incomplete | 138 | $367.38 |
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 | 33% | 4,351 | 3,842 | $113K |
| 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% | 1,283 | 1,227 | $50K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 621 | 606 | $35K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.1% | 436 | 425 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 487 | 468 | $23K |
| 96151 | 5.8% | 871 | 867 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 179 | 153 | $13K |
| 92551 | 3.7% | 1,059 | 1,058 | $13K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.3% | 241 | 236 | $8K |
| 90686 | 1.8% | 668 | 667 | $6K | |
| 92552 | 1.6% | 320 | 320 | $5K | |
| 83655 | <1% | 154 | 153 | $2K |
25 more codes
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 217 | $2K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 15 | $2K |
| 90670 | <1% | 217 | $2K | |
| 90698 | <1% | 215 | $2K | |
| 90734 | <1% | 196 | $2K | |
| 96150 | <1% | 66 | $2K | |
| 90651 | <1% | 165 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 86 | $1K |
| 85018 | <1% | 391 | $854.37 | |
| 99173 | <1% | 118 | $830.54 | |
| 96127 | <1% | 162 | $779.22 | |
| 90633 | <1% | 86 | $774.00 | |
| 90621 | <1% | 78 | $702.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $395.56 |
| 90680 | <1% | 43 | $387.00 | |
| 90715 | <1% | 43 | $387.00 | |
| 90744 | <1% | 40 | $360.00 | |
| 90696 | <1% | 24 | $216.00 | |
| 81002 | <1% | 77 | $207.71 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | $195.72 |
| 81000 | <1% | 134 | $180.18 | |
| 90710 | <1% | 14 | $126.00 | |
| 86580 | <1% | 92 | $105.04 | |
| 81001 | 0% | 68 | $0.00 | |
| 85999 | 0% | 69 | $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 officialBRUNER, DAWN (PRESIDENT)