Physician
Community Pediatric Clinic, INC.
Community Pediatric Clinic, INC. was paid $1.09M by Medicaid between Jan 2018 and Aug 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoCOMMUNITY PEDIATRIC CLINIC, INC.
SANTA FE SPRINGS, CA 90670
SANTA FE SPRINGS, CA 90670
33aNPI1598075442assigned 10/13/2010
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims96,298
24DCodes billed71
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#120 of 1,490
Median peer was paid$15K
This provider vs. median73×
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 | 11,826 | $135K | |
| 2019 | 16,666 | $160K | |
| 2020 | 15,404 | $224K | |
| 2021 | 15,973 | $256K | |
| 2022 | 15,877 | $160K | |
| 2023 | 15,576 | $122K | |
| 2024incomplete | 4,976 | $36K |
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 | 28% | 18,674 | 16,270 | $309K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 2,900 | 2,874 | $95K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.4% | 1,423 | 1,392 | $91K |
| G9920 | Screening performed and negative | 7.6% | 4,561 | 4,554 | $83K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.7% | 234 | 234 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 1,848 | 1,837 | $62K |
| 99381 | 5.4% | 585 | 566 | $59K | |
| 92551 | 4.7% | 6,951 | 6,945 | $52K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 850 | 846 | $34K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 2.6% | 4,864 | 4,511 | $29K |
| 96156 | 2.6% | 2,084 | 2,083 | $29K | |
| 86580 | 2.1% | 6,054 | 6,045 | $23K |
59 more codes
| 83655 | 1.7% | 2,218 | $18K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.5% | 953 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 5,248 | $13K |
| 82465 | 1.1% | 5,238 | $12K | |
| 82947 | 1.0% | 5,073 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,031 | $11K |
| 85018 | <1% | 6,195 | $9K | |
| 90698 | <1% | 1,222 | $8K | |
| 90680 | <1% | 978 | $7K | |
| 90670 | <1% | 1,135 | $6K | |
| 81000 | <1% | 3,545 | $6K | |
| 99383 | <1% | 64 | $5K | |
| 90744 | <1% | 695 | $4K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 237 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 26 | $3K |
| 90633 | <1% | 456 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 168 | $2K |
| 96150 | <1% | 222 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 468 | $2K |
| 99000 | <1% | 867 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 42 | $1K |
| 90710 | <1% | 337 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 254 | $1K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 12 | $1K |
| 90657 | <1% | 667 | $1K | |
| 90649 | <1% | 287 | $834.60 | |
| 99382 | <1% | 19 | $744.26 | |
| 90732 | <1% | 92 | $640.56 | |
| 99385 | <1% | 39 | $623.24 | |
| 90734 | <1% | 116 | $499.98 | |
| 81002 | <1% | 1,653 | $467.83 | |
| 99173 | <1% | 120 | $328.54 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 42 | $318.22 |
| 90700 | <1% | 73 | $288.52 | |
| 90650 | <1% | 91 | $259.88 | |
| 92552 | <1% | 17 | $216.93 | |
| 90648 | <1% | 44 | $198.00 | |
| 90658 | <1% | 12 | $180.00 | |
| 90715 | <1% | 37 | $165.26 | |
| 87110 | <1% | 63 | $155.32 | |
| 90685 | <1% | 51 | $133.95 | |
| 87070 | <1% | 31 | $127.33 | |
| 90713 | <1% | 16 | $126.00 | |
| 90696 | <1% | 28 | $126.00 | |
| 96127 | <1% | 91 | $100.21 | |
| 92081 | <1% | 334 | $50.65 | |
| 99188 | <1% | 13 | $36.00 | |
| 90620 | <1% | 13 | $15.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 27 | $10.92 |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,316 | $0.75 |
| 83037 | 0% | 159 | $0.00 | |
| 3078F | 0% | 685 | $0.00 | |
| 3015F | 0% | 25 | $0.00 | |
| 3074F | 0% | 811 | $0.00 | |
| 3044F | 0% | 410 | $0.00 | |
| 3079F | 0% | 60 | $0.00 | |
| 36406 | 0% | 37 | $0.00 | |
| 3008F | 0% | 93 | $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 officialWINKLER, HEIDI (PRESIDENT)