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Children's Hospital Los Angeles Medical Group

Children's Hospital Los Angeles Medical Group was paid $295K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.

33Billing provider infoCHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP
LOS ANGELES, CA 90027

33aNPI1508041245assigned 12/31/2007

33bProvider typeOptometrist

28Total paid$295K

24GClaims7,878

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Optometrist providers in California

Rank by total paid#222 of 1,899

Median peer was paid$23K

This provider vs. median13×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official LIN, JAMES controls 20+ related entities in our dataset. Read more

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	1,526	$32K
2019	2,045	$51K
2020	1,135	$44K
2021	759	$40K
2022	673	$39K
2023	846	$44K
2024incomplete	894	$45K

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	83%	3,756	3,632	$244K
92015	Determination of refractive state	9.2%	3,281	3,246	$27K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.0%	382	354	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	2.8%	252	249	$8K
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	1.9%	177	176	$6K
92002		<1%	17	17	$542.20
92025		<1%	13	13	$402.79

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 officialLIN, JAMES (CHIEF FINANCIAL OFFICER)

Same official

Other billing entities under LIN, JAMES

Full network →

Provider	Location	Paid
Children's Hospital Los Angeles Medical Group, INC.	Los Angeles, CA	$24.64M
Children's Hospital Los Angeles Medical Group, INC.	Los Angeles, CA	$16.93M
Focus Medical Imaging	Monrovia, CA	$11.40M
Chlamg-Pathology LP	Los Angeles, CA	$9.07M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$8.29M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$7.17M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$7.05M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$6.16M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$5.46M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$4.95M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$4.60M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$4.42M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$4.25M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$3.64M
Southland Dental	Anaheim, CA	$2.72M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$2.65M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$2.54M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$2.22M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$2.21M
Children's Hospital Los Angeles Medical Group	Los Angeles, CA	$2.02M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.