Physician
Sea View Pediatric Medical Assoc. INC.
Sea View Pediatric Medical Assoc. INC. was paid $364K by Medicaid between Jan 2018 and Oct 2019, across 43 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoSEA VIEW PEDIATRIC MEDICAL ASSOC. INC.
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
33aNPI1518034941assigned 11/29/2006
33bProvider typePediatrics Physician
28Total paid$364K
24GClaims13,855
24DCodes billed43
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#272 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 | 7,514 | $181K | |
| 2019 | 6,341 | $184K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 1,470 | 1,341 | $60K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 1,325 | 1,310 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 1,902 | 1,778 | $50K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 12% | 618 | 399 | $44K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.1% | 686 | 676 | $33K |
| 96151 | 5.1% | 819 | 812 | $18K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 312 | 311 | $18K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 234 | 233 | $17K |
| 96150 | 3.2% | 494 | 487 | $11K | |
| 92551 | 1.8% | 528 | 527 | $7K | |
| 99383 | 1.7% | 87 | 87 | $6K | |
| 90670 | 1.6% | 641 | 632 | $6K |
31 more codes
| 90698 | 1.4% | 557 | $5K | |
| 90633 | 1.3% | 511 | $5K | |
| 90686 | 1.2% | 477 | $4K | |
| 90744 | <1% | 354 | $3K | |
| 90680 | <1% | 325 | $3K | |
| 90716 | <1% | 190 | $2K | |
| 92552 | <1% | 98 | $2K | |
| 99382 | <1% | 26 | $2K | |
| 90707 | <1% | 169 | $2K | |
| 90651 | <1% | 132 | $1K | |
| 90734 | <1% | 119 | $1K | |
| 99173 | <1% | 247 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 96 | $1K |
| 99384 | <1% | 12 | $1K | |
| 90696 | <1% | 79 | $702.00 | |
| 90710 | <1% | 70 | $630.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 83 | $580.17 |
| 90685 | <1% | 59 | $531.00 | |
| 90658 | <1% | 55 | $495.00 | |
| 85018 | <1% | 185 | $405.03 | |
| 96127 | <1% | 78 | $375.18 | |
| 90715 | <1% | 31 | $279.00 | |
| 90681 | <1% | 29 | $261.00 | |
| 85999 | <1% | 86 | $258.86 | |
| 90700 | <1% | 13 | $117.00 | |
| 99050 | <1% | 14 | $114.80 | |
| 82948 | <1% | 42 | $113.82 | |
| 99000 | <1% | 26 | $94.38 | |
| 81000 | <1% | 29 | $81.13 | |
| 86580 | <1% | 273 | $55.37 | |
| 81001 | <1% | 274 | $31.78 |
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 officialWILKINSON, MARY ANN (PARTNER SECRETARY)
| Provider | Location | Paid |
|---|---|---|
| Kids Doc of Southern California Medical Group, INC. | Mission Viejo, CA | $197K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.