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

Pediatric Hematology Oncology

Pediatric Hematology Oncology was paid $506K by Medicaid between Jan 2018 and Dec 2018, across 10 billing codes. Its largest line is Z4305, — 23% of everything it billed.

33Billing provider infoPEDIATRIC HEMATOLOGY ONCOLOGY
OAKLAND, CA 94609
33aNPI1760549141assigned 01/03/2007
28Total paid$506K
24GClaims7,604
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers

Next to other Pediatric Hematology & Oncology Physician providers in California

Rank by total paid#8 of 17
Median peer was paid$106K
This provider vs. median4.8×

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

$0$25K$50K$75K2018201920202021202220232024
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
20187,604$506K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Z4305 23% 1,180 1,152 $117K
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 23% 1,902 1,639 $116K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 16% 785 671 $80K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 15% 1,117 286 $74K
Z4306 10% 1,025 1,016 $51K
Z4303 5.2% 880 856 $26K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 4.4% 390 88 $22K
Z4304 2.8% 265 263 $14K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 46 46 $4K
99239 Hospital discharge day management, more than 30 minutes <1% 14 14 $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 officialVICHINSKY, ELLIOTT (PARTNER)