Physician
Itchon, Lideia
Itchon, Lideia was paid $37K by Medicaid between Jan 2018 and Sep 2022, across 14 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 33% of everything it billed.
33Billing provider infoITCHON, LIDEIA
LOMITA, CA 90717
LOMITA, CA 90717
33aNPI1619078599assigned 09/26/2006
33bProvider typePediatrics Physician
28Total paid$37K
24GClaims5,707
24DCodes billed14
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#629 of 1,490
Median peer was paid$15K
This provider vs. median2.5×
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 | 1,502 | $8K | |
| 2019 | 2,566 | $16K | |
| 2020 | 629 | $4K | |
| 2021 | 552 | $4K | |
| 2022 | 458 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 33% | 1,155 | 625 | $12K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 14% | 124 | 124 | $5K |
| 92552 | 14% | 635 | 633 | $5K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 118 | 118 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 90 | 90 | $4K |
| 90686 | 6.5% | 516 | 504 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 1,504 | 1,386 | $2K |
| 99173 | 2.5% | 352 | 352 | $932.24 | |
| 97803 | <1% | 409 | 408 | $340.00 | |
| 90651 | <1% | 107 | 107 | $315.00 | |
| 92060 | <1% | 201 | 201 | $147.55 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 439 | 438 | $108.00 |
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.