Behavioral
Rady Children's Hospital San Diego
Rady Children's Hospital San Diego was paid $5.63M by Medicaid between Jan 2018 and Jun 2024, across 8 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 74% of everything it billed.
33Billing provider infoRADY CHILDREN'S HOSPITAL SAN DIEGO
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
33aNPI1639387681assigned 05/21/2007
33bProvider typeClinical Psychologist
28Total paid$5.63M
24GClaims9,279
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Clinical Psychologist providers in California
Rank by total paid#3 of 350
Median peer was paid$42K
This provider vs. median135×
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 | 1,076 | $651K | |
| 2019 | 1,071 | $678K | |
| 2020 | 1,509 | $969K | |
| 2021 | 1,015 | $785K | |
| 2022 | 844 | $542K | |
| 2023 | 2,285 | $1.26M | |
| 2024incomplete | 1,479 | $743K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 74% | 6,473 | 3,714 | $4.17M |
| 96137 | 13% | 558 | 553 | $725K | |
| 96130 | 5.5% | 556 | 531 | $309K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 3.2% | 457 | 453 | $179K |
| 96136 | 2.8% | 562 | 557 | $156K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.1% | 633 | 629 | $64K |
| 96131 | <1% | 27 | 27 | $27K | |
| 90885 | 0% | 13 | 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 officialBIAL, VIRGINIA (PROGRAM MANAGER)
Parent organizationRADY CHILDREN'S HOSPITAL SAN DIEGO
| Provider | Location | Paid |
|---|---|---|
| Rady Children's Hospital San Diego | San Diego, CA | $15.64M |
| Rady Children's Hospital - San Diego | San Diego, CA | $4.42M |
| Rady Children's Hospital-San Diego | San Diego, CA | $4.11M |
| Rady Children's Hospital San Diego | Chula Vista, CA | $1.51M |
| Rady Children's Hospital - San Diego | Oceanside, CA | $762K |
| Rady Children's Hospital San Diego | Oceanside, CA | $608K |
| Rady Children's Hospital San Diego | San Diego, CA | $296K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.