Clinic
Adolscents Babies & Childrens Pediatric Medical Group, INC.
Adolscents Babies & Childrens Pediatric Medical Group, INC. was paid $695K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoADOLSCENTS BABIES & CHILDRENS PEDIATRIC MEDICAL GROUP, INC.
EL CENTRO, CA 92243
EL CENTRO, CA 92243
33aNPI1477747681assigned 08/30/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$695K
24GClaims20,323
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#67 of 422
Median peer was paid$25K
This provider vs. median28×
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 | 2,989 | $64K | |
| 2019 | 2,159 | $60K | |
| 2020 | 1,029 | $29K | |
| 2021 | 2,521 | $115K | |
| 2022 | 3,783 | $143K | |
| 2023 | 4,167 | $127K | |
| 2024incomplete | 3,675 | $158K |
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 | 44% | 7,310 | 6,327 | $303K |
| 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 | 39% | 3,797 | 3,406 | $271K |
| 92552 | 3.1% | 1,037 | 1,032 | $21K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.0% | 313 | 312 | $21K |
| G0446 | Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes | 2.8% | 934 | 929 | $20K |
| 97802 | 2.7% | 930 | 923 | $19K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 167 | 166 | $12K |
| 99401 | <1% | 286 | 275 | $4K | |
| 85018 | <1% | 1,975 | 1,947 | $4K | |
| 81000 | <1% | 1,542 | 1,517 | $4K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 77 | 77 | $4K |
| 90686 | <1% | 247 | 247 | $3K |
18 more codes
| 99173 | <1% | 972 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 16 | $2K |
| Q3014 | Telehealth originating site facility fee | <1% | 45 | $1K |
| 90677 | <1% | 66 | $927.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $909.92 |
| 86580 | <1% | 244 | $840.19 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $612.63 |
| 96127 | <1% | 125 | $548.29 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 74 | $541.96 |
| 0072A | <1% | 13 | $520.00 | |
| 90656 | <1% | 15 | $157.58 | |
| 90651 | <1% | 16 | $144.00 | |
| 90670 | <1% | 15 | $135.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 27 | $112.50 |
| 90734 | <1% | 12 | $108.00 | |
| 90698 | <1% | 12 | $108.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | 0% | 17 | $0.00 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 15 | $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 officialNEGRETE, ALFEDO (VICE PRESIDENT)