Physician
Pediatric Partners Medical Professional Corporation
Pediatric Partners Medical Professional Corporation was paid $152K by Medicaid between Jan 2018 and Jul 2019, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
FALLBROOK, CA 92028
FALLBROOK, CA 92028
33aNPI1568550523assigned 10/11/2006
33bProvider typePediatrics Physician
28Total paid$152K
24GClaims13,804
24DCodes billed31
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#412 of 1,490
Median peer was paid$15K
This provider vs. median10×
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 | 10,082 | $109K | |
| 2019 | 3,722 | $43K |
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 | 25% | 1,840 | 1,605 | $38K |
| 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 | 23% | 1,241 | 1,132 | $34K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.6% | 556 | 545 | $15K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 523 | 520 | $14K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.4% | 367 | 364 | $13K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 235 | 234 | $11K |
| 92552 | 6.9% | 825 | 825 | $11K | |
| 96127 | 3.1% | 914 | 834 | $5K | |
| 94760 | 2.1% | 522 | 438 | $3K | |
| 99173 | 1.2% | 504 | 504 | $2K | |
| 90670 | <1% | 356 | 356 | $1K | |
| 90698 | <1% | 359 | 359 | $1K |
19 more codes
| 90686 | <1% | 726 | $731.04 | |
| 90680 | <1% | 162 | $684.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $657.15 |
| 90744 | <1% | 157 | $657.00 | |
| 90685 | <1% | 166 | $396.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 183 | $391.29 |
| 92567 | <1% | 371 | $327.24 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,268 | $280.00 |
| 90633 | <1% | 147 | $270.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $216.90 |
| 90461 | <1% | 290 | $150.00 | |
| 90651 | <1% | 112 | $84.05 | |
| 90734 | <1% | 105 | $54.00 | |
| 90715 | <1% | 39 | $36.00 | |
| 90707 | <1% | 13 | $27.00 | |
| 90696 | <1% | 12 | $18.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 898 | $2.74 |
| 97802 | <1% | 569 | $0.92 | |
| 1220F | 0% | 314 | $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 officialMOHR, THOMAS (CHIEF EXECUTIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Rocky Vista Health Center LLC | Parker, CO | $1.40M |
| Pediatric Partners Medical Professional Corporation | Hemet, CA | $487K |
| Pediatric Partners Medical Professional Corporation | Temecula, CA | $150K |
| Pediatric Partners Medical Professional Corporation | Menifee, CA | $145K |
| Pediatric Partners Medical Professional Corporation | Wildomar, CA | $102K |
| Pediatric Partners Medical Professional Corporation | Temecula, CA | $396.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.