Physician
Pediatric Medical Associates of Sacramento INC
Pediatric Medical Associates of Sacramento INC was paid $2.80M by Medicaid between Jan 2018 and Dec 2024, across 79 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 16% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL ASSOCIATES OF SACRAMENTO INC
SACRAMENTO, CA 95825
SACRAMENTO, CA 95825
33aNPI1760570600assigned 10/10/2006
33bProvider typePediatrics Physician
28Total paid$2.80M
24GClaims328,224
24DCodes billed79
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#51 of 1,490
Median peer was paid$15K
This provider vs. median187×
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 | 971 | $19K | |
| 2019 | 1,852 | $17K | |
| 2020 | 1,424 | $9K | |
| 2021 | 1,450 | $32K | |
| 2022 | 87,116 | $633K | |
| 2023 | 110,699 | $937K | |
| 2024incomplete | 124,712 | $1.15M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 16% | 27,535 | 27,053 | $459K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 43,355 | 39,838 | $348K |
| G9920 | Screening performed and negative | 12% | 30,353 | 29,753 | $336K |
| 96156 | 9.2% | 30,485 | 30,063 | $258K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 6,714 | 6,489 | $191K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.8% | 8,459 | 8,292 | $134K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 7,810 | 7,754 | $120K |
| 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 | 4.0% | 7,518 | 7,217 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 4,826 | 4,807 | $81K |
| 90697 | 2.6% | 2,833 | 2,742 | $72K | |
| 99072 | 2.5% | 1,605 | 1,517 | $69K | |
| 92551 | 2.0% | 18,893 | 18,676 | $57K |
67 more codes
| 80061 | Lipid panel | 1.6% | 17,350 | $46K |
| 90671 | 1.4% | 2,008 | $39K | |
| 99381 | 1.4% | 1,030 | $38K | |
| 99383 | 1.3% | 1,206 | $36K | |
| H0049 | Alcohol and/or drug screening | 1.2% | 5,670 | $34K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.0% | 4,899 | $28K |
| 83655 | <1% | 5,390 | $22K | |
| 90670 | <1% | 2,343 | $21K | |
| 90651 | <1% | 2,315 | $18K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 686 | $18K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 9,864 | $18K |
| 99384 | <1% | 546 | $17K | |
| 90686 | <1% | 4,881 | $17K | |
| 99382 | <1% | 502 | $15K | |
| 90680 | <1% | 3,078 | $14K | |
| 90710 | <1% | 2,159 | $14K | |
| 97802 | <1% | 5,262 | $13K | |
| 90619 | <1% | 1,311 | $13K | |
| 90633 | <1% | 3,069 | $11K | |
| 99188 | <1% | 1,050 | $10K | |
| D1206 | Topical application of fluoride varnish | <1% | 2,535 | $10K |
| 90620 | <1% | 808 | $8K | |
| 3074F | <1% | 1,793 | $8K | |
| 90716 | <1% | 1,059 | $6K | |
| 98960 | <1% | 2,257 | $6K | |
| 90648 | <1% | 1,584 | $6K | |
| 90715 | <1% | 1,374 | $5K | |
| 90696 | <1% | 1,317 | $5K | |
| 90656 | <1% | 942 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 513 | $4K |
| 90700 | <1% | 1,433 | $4K | |
| 99173 | <1% | 10,901 | $4K | |
| 96127 | <1% | 607 | $4K | |
| 90723 | <1% | 829 | $4K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,805 | $4K |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 213 | $3K |
| 90480 | <1% | 92 | $3K | |
| 90677 | <1% | 623 | $3K | |
| 99460 | <1% | 222 | $3K | |
| 90707 | <1% | 845 | $3K | |
| 90461 | <1% | 2,758 | $3K | |
| 91321 | <1% | 47 | $2K | |
| 90744 | <1% | 747 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 77 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 221 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,839 | $2K |
| 90734 | <1% | 372 | $1K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 6,472 | $1K |
| 90713 | <1% | 378 | $1K | |
| 90698 | <1% | 402 | $1K | |
| 90685 | <1% | 476 | $1K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 77 | $1K |
| 90621 | <1% | 71 | $472.00 | |
| 90660 | <1% | 36 | $324.00 | |
| 99401 | <1% | 7,017 | $203.82 | |
| 94760 | <1% | 268 | $60.83 | |
| 0072A | <1% | 13 | $38.39 | |
| 81002 | <1% | 59 | $29.00 | |
| D0120 | Dental checkup, returning patient | <1% | 4,596 | $25.00 |
| 99441 | <1% | 1,303 | $10.26 | |
| 90474 | <1% | 30 | $7.82 | |
| 3078F | 0% | 1,681 | $0.00 | |
| 99442 | 0% | 325 | $0.00 | |
| 99050 | 0% | 17 | $0.00 | |
| 3008F | 0% | 134 | $0.00 | |
| 91307 | 0% | 15 | $0.00 | |
| 85018 | 0% | 36 | $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 officialSLONAKER, CHESTER (OWNER)