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

Lenser & Brush Pediatrics INC a Professional Medical Corporation

Lenser & Brush Pediatrics INC a Professional Medical Corporation was paid $396K by Medicaid between Oct 2023 and Dec 2024, across 15 billing codes. Its largest line is 87633, Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets — 63% of everything it billed.

33Billing provider infoLENSER & BRUSH PEDIATRICS INC A PROFESSIONAL MEDICAL CORPORATION
MODESTO, CA 95355
33aNPI1780221044assigned 12/05/2019
28Total paid$396K
24GClaims5,831
24DCodes billed15
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers

Next to other Urgent Care Clinic/Center providers in California

Rank by total paid#109 of 284
Median peer was paid$147K
This provider vs. median2.7×

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$20K$40K$60K2018201920202021202220232024
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
20231,179$83K
2024incomplete4,652$313K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 63% 716 706 $249K
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 11% 1,057 957 $43K
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 9.9% 528 526 $39K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.5% 525 524 $30K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.5% 614 572 $18K
87631 1.5% 103 100 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 630 607 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 249 225 $3K
99000 <1% 864 821 $3K
81002 <1% 323 303 $647.86
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 15 $529.95
94664 <1% 54 51 $434.08
3 more codes
87807 <1% 20 $160.63
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 17 $128.35
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 116 $3.51

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 officialLENSER, DENA (PEDIATRICIAN/OWNER)