Physician
South Coast Pediatrics
South Coast Pediatrics was paid $21.70M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 96156, — 20% of everything it billed.
33Billing provider infoSOUTH COAST PEDIATRICS
SANTA ANA, CA 92704
SANTA ANA, CA 92704
33aNPI1568495364assigned 07/08/2006
33bProvider typePediatrics Physician
28Total paid$21.70M
24GClaims900,547
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#10 of 1,490
Median peer was paid$15K
This provider vs. median1,448×
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 | 120,718 | $2.96M | |
| 2019 | 125,050 | $2.91M | |
| 2020 | 120,078 | $3.16M | |
| 2021 | 150,710 | $4.13M | |
| 2022 | 141,194 | $4.11M | |
| 2023 | 140,308 | $3.25M | |
| 2024incomplete | 102,489 | $1.19M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 20% | 67,666 | 67,463 | $4.35M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 119,265 | 104,419 | $4.03M |
| 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 | 8.0% | 42,144 | 39,372 | $1.74M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 23,912 | 23,818 | $1.58M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 24,103 | 23,998 | $1.30M |
| G9920 | Screening performed and negative | 4.6% | 43,214 | 43,127 | $992K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.1% | 19,528 | 19,428 | $882K |
| 92551 | 3.5% | 62,845 | 62,291 | $766K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 14,601 | 14,481 | $702K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.9% | 5,156 | 5,141 | $621K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 9,113 | 9,068 | $527K |
| 96151 | 1.7% | 16,891 | 16,565 | $372K |
77 more codes
| 99381 | 1.4% | 3,052 | $298K | |
| 86580 | 1.3% | 63,266 | $286K | |
| 87110 | 1.3% | 16,874 | $282K | |
| 85018 | 1.0% | 74,742 | $219K | |
| 90686 | <1% | 25,604 | $214K | |
| 81000 | <1% | 60,050 | $173K | |
| 90700 | <1% | 17,577 | $144K | |
| 90651 | <1% | 10,315 | $133K | |
| 99173 | <1% | 23,346 | $120K | |
| 90713 | <1% | 14,041 | $116K | |
| 90621 | <1% | 7,965 | $112K | |
| 90670 | <1% | 11,400 | $106K | |
| 90648 | <1% | 12,705 | $105K | |
| 99050 | <1% | 2,195 | $87K | |
| 90716 | <1% | 8,262 | $75K | |
| 83655 | <1% | 5,934 | $74K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,167 | $72K |
| 90707 | <1% | 7,924 | $68K | |
| 90633 | <1% | 8,204 | $67K | |
| 90734 | <1% | 5,638 | $67K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 7,960 | $59K |
| 99383 | <1% | 861 | $58K | |
| 0002A | <1% | 1,475 | $57K | |
| 0001A | <1% | 1,504 | $56K | |
| 90744 | <1% | 6,748 | $56K | |
| 99384 | <1% | 615 | $50K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,768 | $45K |
| 90715 | <1% | 4,877 | $44K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 673 | $44K |
| 0071A | <1% | 895 | $35K | |
| 0072A | <1% | 866 | $35K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,294 | $34K |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 1,397 | $33K |
| 90619 | <1% | 3,747 | $30K | |
| 69210 | <1% | 973 | $30K | |
| 99460 | <1% | 520 | $30K | |
| 90681 | <1% | 3,297 | $28K | |
| 90680 | <1% | 2,768 | $26K | |
| 96150 | <1% | 1,113 | $25K | |
| 92081 | <1% | 829 | $22K | |
| 90658 | <1% | 2,397 | $22K | |
| 99382 | <1% | 333 | $20K | |
| 99000 | <1% | 2,037 | $19K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,495 | $19K |
| 81002 | <1% | 2,925 | $15K | |
| 94762 | <1% | 420 | $12K | |
| 90688 | <1% | 1,087 | $11K | |
| 90480 | <1% | 509 | $10K | |
| 0004A | <1% | 253 | $10K | |
| 85999 | <1% | 3,339 | $10K | |
| 36406 | <1% | 454 | $10K | |
| 99462 | <1% | 322 | $9K | |
| 36416 | <1% | 324 | $8K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 381 | $7K |
| 90655 | <1% | 669 | $6K | |
| 90677 | <1% | 1,430 | $6K | |
| 96127 | <1% | 3,123 | $5K | |
| 90656 | <1% | 1,093 | $5K | |
| 81025 | <1% | 387 | $4K | |
| 91322 | <1% | 119 | $3K | |
| 0054A | <1% | 67 | $3K | |
| 90649 | <1% | 220 | $2K | |
| 90672 | <1% | 131 | $2K | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 57 | $1K |
| 99188 | <1% | 439 | $1K | |
| 0082A | <1% | 18 | $720.00 | |
| 91320 | <1% | 198 | $701.00 | |
| 0154A | <1% | 16 | $640.00 | |
| 0124A | <1% | 15 | $600.00 | |
| 0083A | <1% | 14 | $560.00 | |
| 0081A | <1% | 14 | $560.00 | |
| 91321 | <1% | 79 | $513.00 | |
| 91319 | <1% | 107 | $99.00 | |
| 90380 | <1% | 12 | $81.00 | |
| 97802 | <1% | 159 | $30.35 | |
| 90381 | <1% | 12 | $27.00 | |
| 91318 | 0% | 13 | $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 officialWOLSZTEJN, JACOB (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Choc Physicians Network, INC | Orange, CA | $265K |
| South Coast Pediatrics | Anaheim, CA | $182K |
| South Coast Pediatrics | Santa Ana, CA | $67K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.