Physician
Hayward Pediatric Medical Clinic
Hayward Pediatric Medical Clinic was paid $141K by Medicaid between Jan 2018 and Jan 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoHAYWARD PEDIATRIC MEDICAL CLINIC
HAYWARD, CA 94541
HAYWARD, CA 94541
33aNPI1558502625assigned 03/18/2009
33bProvider typePediatrics Physician
28Total paid$141K
24GClaims4,355
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#435 of 1,490
Median peer was paid$15K
This provider vs. median9.4×
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 | 2,023 | $68K | |
| 2019 | 1,220 | $45K | |
| 2020 | 329 | $9K | |
| 2021 | 292 | $7K | |
| 2022 | 225 | $4K | |
| 2023 | 205 | $7K | |
| 2024incomplete | 61 | $995.38 |
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 | 38% | 892 | 746 | $54K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 335 | 300 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 264 | 237 | $23K |
| 92551 | 6.0% | 769 | 769 | $8K | |
| 99381 | 4.6% | 72 | 65 | $6K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 62 | 50 | $5K |
| 90648 | 3.5% | 545 | 534 | $5K | |
| 90670 | 3.3% | 506 | 505 | $5K | |
| 90723 | 2.4% | 381 | 379 | $3K | |
| 90680 | 2.2% | 344 | 341 | $3K | |
| 99442 | <1% | 31 | 31 | $930.00 | |
| 90686 | <1% | 100 | 98 | $902.00 |
4 more codes
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 officialRAJARAM, KAVITHA (PHYSICIAN)