Physician
Night Owl Pediatrics, INC
Night Owl Pediatrics, INC was paid $615K by Medicaid between Jan 2018 and May 2020, across 12 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoNIGHT OWL PEDIATRICS, INC
PLEASANT HILL, CA 94523
PLEASANT HILL, CA 94523
33aNPI1558372177assigned 08/10/2006
33bProvider typePediatric Emergency Medicine (Pediatrics) Physician
28Total paid$615K
24GClaims8,678
24DCodes billed12
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Pediatric Emergency Medicine (Pediatrics) Physician providers in California
Rank by total paid#1 of 9
Median peer was paid$13K
This provider vs. median47×
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 | 3,586 | $244K | |
| 2019 | 3,698 | $259K | |
| 2020 | 1,394 | $112K |
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 | 46% | 3,691 | 3,508 | $286K |
| 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 | 28% | 2,070 | 1,970 | $169K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 25% | 2,356 | 2,294 | $152K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 61 | 61 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 43 | 42 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 226 | 217 | $1K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 80 | 76 | $587.20 |
| 92551 | <1% | 13 | 13 | $151.97 | |
| 87430 | <1% | 12 | 12 | $103.08 | |
| 90686 | <1% | 70 | 69 | $0.23 | |
| 99173 | 0% | 24 | 24 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 32 | 32 | $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 officialHOPKINS, JAMES (PRESIDENT)