Elk Grove Pediatrics, INC
Elk Grove Pediatrics, INC was paid $1.02M by Medicaid between Jan 2018 and Nov 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 16% of everything it billed.
33Billing provider infoELK GROVE PEDIATRICS, INC
ELK GROVE, CA 95624
ELK GROVE, CA 95624
33aNPI1437354677assigned 06/18/2007
33bProvider typeSpecialist
28Total paid$1.02M
24GClaims144,454
24DCodes billed74
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#185 of 1,230
Median peer was paid$51K
This provider vs. median20×
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 | 8,900 | $131K | |
| 2019 | 18,176 | $159K | |
| 2020 | 18,768 | $125K | |
| 2021 | 21,909 | $81K | |
| 2022 | 24,599 | $142K | |
| 2023 | 23,466 | $218K | |
| 2024incomplete | 28,636 | $160K |
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 | 16% | 13,615 | 12,326 | $159K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 4,368 | 4,265 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 5,425 | 5,354 | $104K |
| 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 | 9.5% | 6,436 | 5,801 | $97K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.4% | 3,777 | 3,760 | $85K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.6% | 3,442 | 3,298 | $77K |
| G9920 | Screening performed and negative | 7.2% | 5,713 | 5,616 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 1,917 | 1,906 | $43K |
| 99460 | 3.8% | 1,326 | 1,311 | $38K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 988 | 978 | $29K |
| 96156 | 1.9% | 1,798 | 1,793 | $19K | |
| 92552 | 1.8% | 7,112 | 7,030 | $18K |
62 more codes
| 99462 | 1.8% | 1,362 | $18K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.7% | 1,992 | $17K |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | 1.2% | 7,458 | $12K |
| 97803 | 1.1% | 3,598 | $12K | |
| 99188 | 1.0% | 3,595 | $10K | |
| 96112 | <1% | 5,323 | $10K | |
| 99383 | <1% | 220 | $7K | |
| 99381 | <1% | 103 | $6K | |
| 90680 | <1% | 2,774 | $6K | |
| 90670 | <1% | 3,762 | $6K | |
| 90698 | <1% | 2,242 | $4K | |
| 90744 | <1% | 1,680 | $4K | |
| 90688 | <1% | 3,632 | $3K | |
| 99382 | <1% | 81 | $3K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 863 | $3K |
| 90697 | <1% | 1,066 | $2K | |
| 97802 | <1% | 5,626 | $2K | |
| 83655 | <1% | 600 | $2K | |
| 99401 | <1% | 5,728 | $2K | |
| 99406 | <1% | 881 | $2K | |
| 90700 | <1% | 2,141 | $2K | |
| 90651 | <1% | 1,063 | $1K | |
| 85018 | <1% | 3,278 | $1K | |
| 90633 | <1% | 2,260 | $1K | |
| 96127 | <1% | 1,228 | $1K | |
| 90707 | <1% | 1,454 | $920.90 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 200 | $784.85 |
| 90716 | <1% | 1,483 | $772.38 | |
| 90713 | <1% | 915 | $745.29 | |
| 92551 | <1% | 1,490 | $690.53 | |
| 90677 | <1% | 276 | $687.70 | |
| 90734 | <1% | 574 | $607.30 | |
| 99173 | <1% | 3,279 | $572.16 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 82 | $558.80 |
| 90710 | <1% | 417 | $531.54 | |
| D0120 | Dental checkup, returning patient | <1% | 5,080 | $495.33 |
| 90685 | <1% | 921 | $472.07 | |
| 90715 | <1% | 398 | $462.60 | |
| 90648 | <1% | 572 | $414.90 | |
| 96111 | <1% | 258 | $381.50 | |
| 90671 | <1% | 95 | $235.80 | |
| 87081 | <1% | 477 | $227.07 | |
| 90658 | <1% | 43 | $153.62 | |
| 81000 | <1% | 2,050 | $148.86 | |
| 99384 | <1% | 13 | $148.12 | |
| 90620 | <1% | 68 | $139.23 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 12 | $124.82 |
| 94760 | <1% | 417 | $111.44 | |
| 90656 | <1% | 98 | $73.00 | |
| 86580 | <1% | 106 | $37.15 | |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 29 | $35.60 |
| 1032F | <1% | 3,424 | $27.00 | |
| 90696 | <1% | 14 | $18.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 16 | $12.76 |
| 96161 | <1% | 370 | $5.12 | |
| 81002 | <1% | 25 | $2.13 | |
| D1330 | 0% | 309 | $0.00 | |
| 90686 | 0% | 93 | $0.00 | |
| 85014 | 0% | 269 | $0.00 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 580 | $0.00 |
| 96160 | 0% | 33 | $0.00 | |
| D5986 | 0% | 41 | $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 officialSAIED, RAHAT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| South Area Pediatric Medical Group | Sacramento, CA | $953K |
| Pediatric Urgent Care of Sacramento, INC | Sacramento, CA | $297K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.