Physician
Los Ninos Children Medical Clinic INC.
Los Ninos Children Medical Clinic INC. was paid $482K by Medicaid between Jan 2018 and Nov 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoLOS NINOS CHILDREN MEDICAL CLINIC INC.
WEST COVINA, CA 91790
WEST COVINA, CA 91790
33aNPI1700115722assigned 12/22/2009
33bProvider typePediatrics Physician
28Total paid$482K
24GClaims199,609
24DCodes billed49
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#233 of 1,490
Median peer was paid$15K
This provider vs. median32×
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 | 20,336 | $83K | |
| 2019 | 41,567 | $128K | |
| 2020 | 30,347 | $50K | |
| 2021 | 32,211 | $51K | |
| 2022 | 28,113 | $76K | |
| 2023 | 28,393 | $59K | |
| 2024incomplete | 18,642 | $35K |
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 | 37% | 45,631 | 43,779 | $180K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 6,157 | 6,150 | $55K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 6,199 | 6,190 | $52K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.3% | 3,374 | 3,363 | $45K |
| 92552 | 9.0% | 15,594 | 15,559 | $43K | |
| 99381 | 2.8% | 245 | 244 | $13K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.6% | 5,499 | 4,939 | $13K |
| 97803 | 2.1% | 16,029 | 15,999 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 1,122 | 1,121 | $10K |
| 99406 | 1.7% | 21,068 | 20,808 | $8K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.3% | 387 | 385 | $6K |
| 90651 | 1.3% | 2,426 | 2,415 | $6K |
37 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 9,693 | $6K |
| 90670 | <1% | 1,428 | $4K | |
| 99383 | <1% | 271 | $3K | |
| 97802 | <1% | 1,607 | $3K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,613 | $3K |
| 90648 | <1% | 1,284 | $3K | |
| 90686 | <1% | 2,435 | $2K | |
| 90707 | <1% | 1,449 | $2K | |
| 90633 | <1% | 1,457 | $2K | |
| 90734 | <1% | 2,550 | $2K | |
| 90716 | <1% | 1,562 | $1K | |
| 90620 | <1% | 1,581 | $1K | |
| 90723 | <1% | 651 | $1K | |
| 99173 | <1% | 12,810 | $938.17 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 795 | $927.00 |
| 90680 | <1% | 1,073 | $919.03 | |
| 90698 | <1% | 994 | $817.44 | |
| 85018 | <1% | 236 | $471.65 | |
| 99382 | <1% | 53 | $430.77 | |
| 90715 | <1% | 1,331 | $375.48 | |
| 90744 | <1% | 456 | $338.58 | |
| 90688 | <1% | 250 | $334.45 | |
| 90700 | <1% | 452 | $331.09 | |
| 86580 | <1% | 225 | $282.12 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 229 | $158.40 |
| 99384 | <1% | 15 | $121.13 | |
| 90696 | <1% | 238 | $120.00 | |
| 90713 | <1% | 244 | $91.57 | |
| 3008F | <1% | 12,542 | $50.01 | |
| 90461 | <1% | 123 | $49.50 | |
| 90671 | <1% | 161 | $46.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 15,625 | $26.56 |
| 91307 | 0% | 33 | $0.00 | |
| 99214 | Doctor's office visit, returning patient (more involved) | 0% | 342 | $0.00 |
| 0072A | 0% | 13 | $0.00 | |
| 91305 | 0% | 13 | $0.00 | |
| 90656 | 0% | 44 | $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 officialDOMINGUEZ, EMIL (PRESIDENT)