Pediatric Medical Group of San Francisco INC
Pediatric Medical Group of San Francisco INC was paid $27K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL GROUP OF SAN FRANCISCO INC
DALY CITY, CA 94015
DALY CITY, CA 94015
33aNPI1477666352assigned 08/16/2006
33bProvider typeLegal Medicine
28Total paid$27K
24GClaims5,538
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Legal Medicine providers in California
Rank by total paid#16 of 39
Median peer was paid$17K
This provider vs. median1.5×
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 | 822 | $9K | |
| 2019 | 1,051 | $6K | |
| 2020 | 436 | $2K | |
| 2021 | 656 | $1K | |
| 2022 | 904 | $1K | |
| 2023 | 951 | $2K | |
| 2024incomplete | 718 | $6K |
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 | 71% | 2,285 | 2,051 | $19K |
| 90686 | 6.4% | 500 | 500 | $2K | |
| 92551 | 6.0% | 821 | 821 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 59 | 59 | $760.08 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.8% | 727 | 533 | $738.12 |
| 90656 | 2.3% | 67 | 67 | $608.85 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 58 | 58 | $557.46 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 25 | 25 | $545.95 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.5% | 31 | 31 | $411.36 |
| 90685 | 1.3% | 52 | 52 | $354.35 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 419 | 410 | $239.08 |
| 85018 | <1% | 427 | 426 | $151.94 |
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 officialFERNANDEZ, MARY ANN (PRESIDENT)