Physician
Sonoma Plaza Pediatrics Medical Group, INC.
Sonoma Plaza Pediatrics Medical Group, INC. was paid $357K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 96156, — 54% of everything it billed.
33Billing provider infoSONOMA PLAZA PEDIATRICS MEDICAL GROUP, INC.
SONOMA, CA 95476
SONOMA, CA 95476
33aNPI1508973371assigned 08/25/2006
33bProvider typePediatrics Physician
28Total paid$357K
24GClaims20,556
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#280 of 1,490
Median peer was paid$15K
This provider vs. median24×
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 | 2,832 | $16K | |
| 2019 | 2,593 | $20K | |
| 2020 | 2,634 | $59K | |
| 2021 | 3,272 | $74K | |
| 2022 | 4,229 | $87K | |
| 2023 | 2,810 | $60K | |
| 2024incomplete | 2,186 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 54% | 2,309 | 2,192 | $193K | |
| G9920 | Screening performed and negative | 14% | 1,764 | 1,710 | $51K |
| 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 | 6.4% | 4,287 | 3,891 | $23K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 5.1% | 612 | 611 | $18K |
| 96150 | 3.8% | 759 | 758 | $14K | |
| 99406 | 2.6% | 895 | 894 | $9K | |
| 90688 | 2.5% | 976 | 969 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 2,550 | 2,366 | $8K |
| H0049 | Alcohol and/or drug screening | 2.1% | 312 | 311 | $7K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.6% | 357 | 356 | $6K |
| 90651 | <1% | 304 | 304 | $3K | |
| 92552 | <1% | 2,294 | 2,276 | $3K |
18 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 704 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 383 | $2K |
| 94760 | <1% | 308 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 43 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 539 | $986.94 |
| 0071A | <1% | 21 | $840.00 | |
| 90700 | <1% | 80 | $720.00 | |
| 0072A | <1% | 14 | $560.00 | |
| 90670 | <1% | 56 | $504.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 79 | $497.64 |
| 90648 | <1% | 52 | $468.00 | |
| 90734 | <1% | 44 | $387.00 | |
| 90685 | <1% | 40 | $360.00 | |
| 90715 | <1% | 38 | $333.00 | |
| 86580 | <1% | 459 | $163.65 | |
| 90713 | <1% | 12 | $108.00 | |
| 81000 | <1% | 146 | $18.06 | |
| 85018 | <1% | 119 | $14.49 |
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 officialDE TORRES, CHARLES (M.D./CEO)