Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Northern California Pediatric Hospitalists, INC

Northern California Pediatric Hospitalists, INC was paid $852K by Medicaid between Jul 2019 and Sep 2024, across 8 billing codes. Its largest line is 99460, — 43% of everything it billed.

33Billing provider infoNORTHERN CALIFORNIA PEDIATRIC HOSPITALISTS, INC
STOCKTON, CA 95204
33aNPI1740744796assigned 01/24/2019
33bProvider typePediatrics Physician
28Total paid$852K
24GClaims21,142
24DCodes billed8
24AFirst – last monthJul 2019 – Sep 2024
Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#151 of 1,490
Median peer was paid$15K
This provider vs. median57×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20192,286$102K
20204,433$177K
20214,431$175K
20224,281$169K
20233,121$127K
2024incomplete2,590$103K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99460 43% 7,260 7,162 $367K
99462 29% 9,316 6,363 $249K
99222 Initial hospital care, per day, moderate complexity 11% 1,257 1,233 $98K
99238 Hospital discharge day management, 30 minutes or less 8.9% 1,917 1,893 $76K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.9% 1,029 495 $41K
99239 Hospital discharge day management, more than 30 minutes 1.8% 279 277 $15K
99242 <1% 72 72 $4K
99223 Prolong inpt eval add15 m <1% 12 12 $1K

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 officialFUNGHI, CRISTINA (CEO)