Physician
Fairway Children's Medical Group
Fairway Children's Medical Group was paid $54K by Medicaid between Jan 2024 and Oct 2024, across 50 billing codes. Its largest line is G9920, Screening performed and negative — 14% of everything it billed.
33Billing provider infoFAIRWAY CHILDREN'S MEDICAL GROUP
WEST COVINA, CA 91792
WEST COVINA, CA 91792
33aNPI1700510898assigned 07/13/2022
33bProvider typePediatrics Physician
28Total paid$54K
24GClaims32,818
24DCodes billed50
24AFirst – last monthJan 2024 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#578 of 1,490
Median peer was paid$15K
This provider vs. median3.6×
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 | |
|---|---|---|---|
| 2024incomplete | 32,818 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9920 | Screening performed and negative | 14% | 2,748 | 2,737 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 2,729 | 2,469 | $7K |
| 96156 | 11% | 2,384 | 2,376 | $6K | |
| 92552 | 9.1% | 1,685 | 1,678 | $5K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.4% | 940 | 854 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 957 | 956 | $3K |
| 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 | 6.0% | 941 | 892 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.7% | 564 | 564 | $3K |
| 92551 | 4.2% | 502 | 502 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.5% | 526 | 525 | $2K |
| 69210 | 2.3% | 90 | 89 | $1K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.9% | 694 | 688 | $1K |
38 more codes
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 83 | $946.90 |
| 90686 | 1.6% | 210 | $878.00 | |
| 90651 | 1.5% | 361 | $804.00 | |
| 99383 | 1.5% | 27 | $790.98 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.4% | 1,642 | $737.70 |
| 90698 | 1.3% | 77 | $704.00 | |
| 90671 | 1.1% | 149 | $598.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 399 | $516.60 |
| 90619 | <1% | 200 | $465.00 | |
| 99188 | <1% | 837 | $288.00 | |
| 90620 | <1% | 137 | $253.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 79 | $205.80 |
| 90680 | <1% | 26 | $193.00 | |
| 90633 | <1% | 80 | $172.00 | |
| 90715 | <1% | 77 | $168.00 | |
| 90656 | <1% | 337 | $145.41 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 253 | $124.68 |
| 90744 | <1% | 25 | $121.00 | |
| 90710 | <1% | 43 | $120.00 | |
| 90700 | <1% | 38 | $119.00 | |
| 96127 | <1% | 729 | $101.01 | |
| 90461 | <1% | 522 | $80.00 | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,967 | $68.85 |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | <1% | 2,320 | $64.00 |
| 96160 | <1% | 2,997 | $50.00 | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 78 | $37.25 |
| 83655 | <1% | 261 | $21.26 | |
| 90713 | <1% | 12 | $10.00 | |
| 99177 | 0% | 1,162 | $0.00 | |
| 99173 | 0% | 329 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 1,315 | $0.00 |
| 99051 | 0% | 399 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 235 | $0.00 |
| 99174 | 0% | 93 | $0.00 | |
| 94760 | 0% | 402 | $0.00 | |
| 36416 | 0% | 103 | $0.00 | |
| 85018 | 0% | 42 | $0.00 | |
| 90660 | 0% | 12 | $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 officialCHAN, JACKYLN (OWNER)