Children's Hospital Los Angeles Medical Group, INC.
Children's Hospital Los Angeles Medical Group, INC. was paid $16.93M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 24% of everything it billed.
LOS ANGELES, CA 90027
Next to other Pediatric Hematology & Oncology Physician providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 28,352 | $2.23M | |
| 2019 | 28,635 | $2.37M | |
| 2020 | 32,894 | $2.60M | |
| 2021 | 39,265 | $2.95M | |
| 2022 | 24,107 | $1.76M | |
| 2023 | 31,761 | $2.47M | |
| 2024incomplete | 29,106 | $2.54M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 24% | 28,357 | 22,219 | $4.05M |
| Z4305 | 18% | 31,118 | 25,947 | $3.09M | |
| Z4306 | 15% | 52,633 | 41,943 | $2.61M | |
| 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 | 13% | 22,354 | 17,502 | $2.24M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 13% | 32,781 | 9,906 | $2.20M |
| 96450 | 4.9% | 4,588 | 3,970 | $823K | |
| Z4304 | 4.1% | 13,140 | 12,252 | $701K | |
| Z4303 | 2.4% | 13,451 | 11,081 | $400K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 3,168 | 2,349 | $219K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 2,088 | 1,949 | $164K |
| 99223 | Prolong inpt eval add15 m | <1% | 1,166 | 1,092 | $135K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 1,319 | 560 | $73K |
12 more codes
| 38222 | <1% | 275 | $54K | |
| Z4302 | <1% | 6,386 | $50K | |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 133 | $39K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 244 | $26K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 600 | $25K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 118 | $5K |
| 99254 | <1% | 52 | $4K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 79 | $4K |
| 38220 | <1% | 13 | $3K | |
| 99356 | <1% | 32 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 12 | $677.33 |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 13 | $108.96 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.