Clinic
Pediatric and Family Medical Center
Pediatric and Family Medical Center was paid $39.58M by Medicaid between Jan 2018 and Dec 2024, across 80 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 97% of everything it billed.
33Billing provider infoPEDIATRIC AND FAMILY MEDICAL CENTER
LOS ANGELES, CA 90015
LOS ANGELES, CA 90015
33aNPI1720468804assigned 06/04/2015
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$39.58M
24GClaims298,049
24DCodes billed80
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#88 of 826
Median peer was paid$4.05M
This provider vs. median9.8×
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 | 25,319 | $5.23M | |
| 2019 | 22,956 | $4.24M | |
| 2020 | 37,226 | $4.77M | |
| 2021 | 61,455 | $7.27M | |
| 2022 | 45,774 | $5.59M | |
| 2023 | 55,917 | $6.61M | |
| 2024incomplete | 49,402 | $5.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 97% | 161,483 | 127,124 | $38.37M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 25,089 | 23,388 | $456K |
| J7307 | Etonogestrel (contraceptive) implant system, including implant and supplies | <1% | 479 | 479 | $387K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,539 | 4,366 | $141K |
| 00003 | Internal/system code - not a standard HCPCS code | <1% | 356 | 355 | $94K |
| 11981 | <1% | 271 | 271 | $54K | |
| 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 | <1% | 1,958 | 1,853 | $31K |
| J7298 | Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg | <1% | 25 | 25 | $17K |
| J3490 | Unclassified drugs | <1% | 332 | 293 | $8K |
| 81025 | <1% | 4,639 | 4,576 | $8K | |
| 58300 | <1% | 65 | 34 | $6K | |
| 99460 | <1% | 3,022 | 2,868 | $4K |
68 more codes
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 101 | $3K |
| 99462 | <1% | 2,368 | $2K | |
| 11976 | <1% | 17 | $996.77 | |
| 99000 | <1% | 346 | $696.96 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 1,288 | $689.25 |
| 99381 | <1% | 352 | $271.53 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 14 | $174.72 |
| 99221 | <1% | 17 | $102.56 | |
| 81002 | <1% | 2,511 | $93.21 | |
| 88720 | <1% | 1,585 | $75.12 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 671 | $61.79 |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 1,181 | $46.58 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 60 | $22.79 |
| 59025 | Fetal non-stress test | <1% | 1,185 | $18.24 |
| 96161 | <1% | 354 | $7.55 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 14 | $7.32 |
| 85018 | <1% | 477 | $6.11 | |
| Z6414 | 0% | 1,209 | $0.00 | |
| 0502F | 0% | 15,499 | $0.00 | |
| Z6400 | 0% | 7,087 | $0.00 | |
| 90670 | 0% | 90 | $0.00 | |
| Z6200 | 0% | 220 | $0.00 | |
| 90681 | 0% | 254 | $0.00 | |
| 1159F | 0% | 1,305 | $0.00 | |
| 90715 | 0% | 99 | $0.00 | |
| 3725F | 0% | 202 | $0.00 | |
| Z6412 | 0% | 3,676 | $0.00 | |
| Z6304 | 0% | 1,709 | $0.00 | |
| 3078F | 0% | 468 | $0.00 | |
| Z6500 | 0% | 935 | $0.00 | |
| 90661 | 0% | 30 | $0.00 | |
| Z6300 | 0% | 33 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 243 | $0.00 |
| Z6202 | 0% | 268 | $0.00 | |
| 82948 | 0% | 16 | $0.00 | |
| Z6302 | 0% | 82 | $0.00 | |
| Z6308 | 0% | 250 | $0.00 | |
| 1160F | 0% | 696 | $0.00 | |
| 99173 | 0% | 96 | $0.00 | |
| Z6208 | 0% | 237 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 51 | $0.00 |
| 90461 | 0% | 38 | $0.00 | |
| 99222 | Initial hospital care, per day, moderate complexity | 0% | 20 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 17 | $0.00 |
| 1036F | 0% | 655 | $0.00 | |
| Z6406 | 0% | 6,618 | $0.00 | |
| Z6410 | 0% | 6,661 | $0.00 | |
| Z1034 | 0% | 23,367 | $0.00 | |
| 90723 | 0% | 395 | $0.00 | |
| Z6204 | 0% | 5,410 | $0.00 | |
| Z1032 | 0% | 587 | $0.00 | |
| 0503F | 0% | 153 | $0.00 | |
| 0500F | 0% | 431 | $0.00 | |
| 90647 | 0% | 289 | $0.00 | |
| 0501F | 0% | 698 | $0.00 | |
| 90677 | 0% | 331 | $0.00 | |
| 3008F | 0% | 1,139 | $0.00 | |
| 90686 | 0% | 155 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 166 | $0.00 |
| 96127 | 0% | 513 | $0.00 | |
| 3079F | 0% | 12 | $0.00 | |
| 3074F | 0% | 540 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 70 | $0.00 |
| Z1038 | 0% | 176 | $0.00 | |
| 99232 | Hospital visit by a doctor, follow-up day | 0% | 15 | $0.00 |
| 92551 | 0% | 14 | $0.00 | |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 13 | $0.00 |
| 99205 | Prolong outpt/office vis | 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 officialMCCARTHY, MONICA (SR VP, COO & INTERIM-CEO)
| Provider | Location | Paid |
|---|---|---|
| Pediatric and Family Medical Center | Sherman Oaks, CA | $71.67M |
| Pediatric and Family Medical Center | Los Angeles, CA | $45.33M |
| Pediatric and Family Medical Center | Los Angeles, CA | $26.37M |
| Pediatric and Family Medical Center | Lynwood, CA | $14.99M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.