Mission Pediatric Medical Clinic, INC.

Mission Pediatric Medical Clinic, INC. was paid $101K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 96156, — 31% of everything it billed.

33Billing provider infoMISSION PEDIATRIC MEDICAL CLINIC, INC.
MISSION VIEJO, CA 92691

33aNPI1538234646assigned 11/22/2006

33bProvider typePediatrics Physician

28Total paid$101K

24GClaims3,351

24DCodes billed17

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#479 of 1,490

Median peer was paid$15K

This provider vs. median6.7×

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	511	$13K
2019	856	$20K
2020	457	$20K
2021	399	$19K
2022	409	$18K
2023	392	$11K
2024incomplete	327	$0.00

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96156		31%	457	442	$31K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	800	706	$21K
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%	566	489	$18K
92081		11%	362	359	$11K
92551		5.4%	458	444	$5K
96150		3.5%	151	149	$4K
G9920	Screening performed and negative	3.1%	139	127	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.6%	46	46	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.2%	44	44	$2K
96151		1.7%	76	76	$2K
90658		<1%	70	68	$630.00
90649		<1%	37	37	$333.00

5 more codes

90620		<1%	35	$315.00
96127		<1%	67	$264.55
99172		<1%	14	$257.60
90734		<1%	14	$126.00
92015	Determination of refractive state	<1%	15	$120.15

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 officialKIM, DUKE (PRESIDENT)