Physician
Pediatric Hospital Care Associates, INC
Pediatric Hospital Care Associates, INC was paid $327K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 42% of everything it billed.
33Billing provider infoPEDIATRIC HOSPITAL CARE ASSOCIATES, INC
VAN NUYS, CA 91405
VAN NUYS, CA 91405
33aNPI1457642332assigned 04/26/2011
33bProvider typePediatrics Physician
28Total paid$327K
24GClaims7,397
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#297 of 1,490
Median peer was paid$15K
This provider vs. median22×
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 | 1,015 | $40K | |
| 2019 | 1,254 | $61K | |
| 2020 | 543 | $24K | |
| 2021 | 327 | $22K | |
| 2022 | 688 | $45K | |
| 2023 | 1,782 | $75K | |
| 2024incomplete | 1,788 | $61K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 42% | 1,761 | 1,750 | $136K |
| 99239 | Hospital discharge day management, more than 30 minutes | 21% | 1,957 | 1,950 | $70K |
| 99460 | 11% | 851 | 846 | $35K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 9.3% | 831 | 438 | $30K |
| 99238 | Hospital discharge day management, 30 minutes or less | 7.3% | 961 | 958 | $24K |
| 99222 | Initial hospital care, per day, moderate complexity | 4.7% | 275 | 273 | $15K |
| 99462 | 2.8% | 466 | 404 | $9K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.3% | 295 | 193 | $8K |
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 officialMECHOSO, DIEGO (PRESIDENT/OWNER)