Clinic
Nativity Pediatrics, INC
Nativity Pediatrics, INC was paid $363K by Medicaid between Jan 2018 and Nov 2024, across 59 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.
33Billing provider infoNATIVITY PEDIATRICS, INC
FOLSOM, CA 95630
FOLSOM, CA 95630
33aNPI1770739989assigned 08/07/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$363K
24GClaims108,298
24DCodes billed59
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#86 of 422
Median peer was paid$25K
This provider vs. median15×
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 | 10,734 | $104K | |
| 2019 | 20,253 | $63K | |
| 2020 | 15,729 | $38K | |
| 2021 | 16,084 | $55K | |
| 2022 | 15,128 | $24K | |
| 2023 | 17,414 | $36K | |
| 2024incomplete | 12,956 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 30% | 9,095 | 8,315 | $110K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 7,947 | 7,351 | $56K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 10.0% | 8,653 | 8,292 | $36K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.1% | 1,004 | 926 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.6% | 2,265 | 2,152 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 2,694 | 2,642 | $19K |
| 97803 | 3.1% | 8,352 | 8,024 | $11K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.3% | 600 | 559 | $9K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 1,660 | 1,657 | $8K |
| 92551 | 1.9% | 6,430 | 6,255 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 1,960 | 1,877 | $7K |
| 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 | 1.9% | 144 | 141 | $7K |
47 more codes
| 99383 | 1.4% | 109 | $5K | |
| 92081 | <1% | 4,869 | $4K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,953 | $3K |
| D0120 | Dental checkup, returning patient | <1% | 8,261 | $2K |
| 90670 | <1% | 826 | $2K | |
| 90698 | <1% | 782 | $2K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 8,258 | $2K |
| 99173 | <1% | 1,307 | $2K | |
| 81003 | <1% | 5,839 | $2K | |
| 90686 | <1% | 1,903 | $1K | |
| 90744 | <1% | 550 | $1K | |
| 85018 | <1% | 7,211 | $1K | |
| 99188 | <1% | 608 | $1K | |
| 90716 | <1% | 885 | $1K | |
| 99401 | <1% | 8,237 | $911.05 | |
| 90707 | <1% | 753 | $846.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 523 | $751.31 |
| 90680 | <1% | 200 | $710.58 | |
| 90633 | <1% | 458 | $450.00 | |
| 90651 | <1% | 579 | $432.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 974 | $422.50 |
| 90700 | <1% | 275 | $297.00 | |
| 83655 | <1% | 220 | $260.42 | |
| 90734 | <1% | 221 | $162.00 | |
| 90658 | <1% | 31 | $159.14 | |
| 99384 | <1% | 12 | $148.12 | |
| 97802 | <1% | 45 | $145.88 | |
| 90713 | <1% | 139 | $135.00 | |
| 90715 | <1% | 221 | $135.00 | |
| 90619 | <1% | 178 | $135.00 | |
| 90672 | <1% | 267 | $117.00 | |
| 90620 | <1% | 87 | $117.00 | |
| 90671 | <1% | 62 | $108.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 192 | $106.20 |
| 90677 | <1% | 56 | $81.00 | |
| 90656 | <1% | 33 | $36.00 | |
| 87807 | <1% | 13 | $27.43 | |
| 90685 | <1% | 58 | $27.00 | |
| 90648 | <1% | 37 | $27.00 | |
| 90655 | <1% | 25 | $27.00 | |
| 90696 | <1% | 13 | $27.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 105 | $13.20 |
| 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% | 16 | $12.36 |
| 90473 | 0% | 44 | $0.00 | |
| 99423 | 0% | 25 | $0.00 | |
| 86580 | 0% | 16 | $0.00 | |
| 99422 | 0% | 18 | $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 officialBIYO, EULE (PRESIDENT)