Physician
Pediatric Medical Associates of Orange County INC
Pediatric Medical Associates of Orange County INC was paid $1.85M by Medicaid between Jan 2018 and Nov 2024, across 48 billing codes. Its largest line is 96156, — 32% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL ASSOCIATES OF ORANGE COUNTY INC
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1699962688assigned 10/03/2007
33bProvider typePediatrics Physician
28Total paid$1.85M
24GClaims68,473
24DCodes billed48
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#78 of 1,490
Median peer was paid$15K
This provider vs. median124×
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 | 6,367 | $167K | |
| 2019 | 8,068 | $180K | |
| 2020 | 9,201 | $311K | |
| 2021 | 10,820 | $385K | |
| 2022 | 11,308 | $381K | |
| 2023 | 12,132 | $319K | |
| 2024incomplete | 10,577 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 32% | 8,180 | 8,046 | $595K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.5% | 4,467 | 4,195 | $157K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.1% | 2,524 | 2,497 | $150K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 2,746 | 2,720 | $141K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 2,285 | 2,258 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.2% | 1,819 | 1,746 | $96K |
| 97802 | 5.0% | 3,478 | 3,459 | $93K | |
| 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 | 4.8% | 1,516 | 1,467 | $88K |
| 92551 | 4.0% | 6,190 | 6,131 | $73K | |
| G9920 | Screening performed and negative | 3.0% | 3,146 | 3,132 | $55K |
| 96151 | 2.8% | 2,222 | 2,195 | $52K | |
| 97803 | 2.5% | 1,180 | 1,172 | $46K |
36 more codes
| 99381 | 1.3% | 212 | $24K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 1,564 | $18K |
| 99173 | <1% | 1,256 | $18K | |
| 90658 | <1% | 2,043 | $15K | |
| 85018 | <1% | 6,881 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 825 | $13K |
| 90670 | <1% | 1,363 | $12K | |
| 81005 | <1% | 5,256 | $10K | |
| 90698 | <1% | 1,065 | $8K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 846 | $7K |
| 90649 | <1% | 817 | $6K | |
| 90734 | <1% | 818 | $6K | |
| 83655 | <1% | 458 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 280 | $5K |
| 90633 | <1% | 585 | $5K | |
| 90657 | <1% | 590 | $5K | |
| 99460 | <1% | 87 | $5K | |
| 90707 | <1% | 542 | $4K | |
| 90716 | <1% | 544 | $4K | |
| 90700 | <1% | 531 | $4K | |
| 99451 | <1% | 138 | $4K | |
| 90744 | <1% | 481 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 83 | $3K |
| 90620 | <1% | 382 | $3K | |
| 99462 | <1% | 166 | $2K | |
| 90680 | <1% | 240 | $2K | |
| 90715 | <1% | 194 | $2K | |
| 99421 | <1% | 80 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | $952.24 |
| 90713 | <1% | 78 | $513.00 | |
| 90677 | <1% | 208 | $450.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $425.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 13 | $346.80 |
| 87430 | <1% | 28 | $328.60 | |
| 86580 | <1% | 12 | $51.96 | |
| 90648 | <1% | 13 | $27.00 |
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 officialGARCIA, MAMERTO (CEO)