Physician
Pediatric Subspecialty Faculty, INC.
Pediatric Subspecialty Faculty, INC. was paid $1.00M by Medicaid between Jan 2018 and Dec 2023, across 48 billing codes. Its largest line is 99215, doctor's office visit, returning patient (complex) — 46% of everything it billed.
33Billing provider infoPEDIATRIC SUBSPECIALTY FACULTY, INC.
ORANGE, CA 92868
ORANGE, CA 92868
33aNPI1790850279assigned 11/21/2006
33bProvider typePediatrics Physician
28Total paid$1.00M
24GClaims26,432
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#126 of 1,490
Median peer was paid$15K
This provider vs. median67×
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 | 5,573 | $157K | |
| 2019 | 5,911 | $206K | |
| 2020 | 3,712 | $168K | |
| 2021 | 3,770 | $177K | |
| 2022 | 4,864 | $216K | |
| 2023 | 2,602 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 46% | 5,190 | 4,619 | $461K |
| 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 | 13% | 2,438 | 2,390 | $131K |
| 99245 | 9.2% | 765 | 761 | $92K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.1% | 1,156 | 293 | $81K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | 4.4% | 1,257 | 1,122 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 1,296 | 1,224 | $32K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 361 | 128 | $27K |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.1% | 354 | 346 | $21K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.7% | 155 | 150 | $17K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 730 | 613 | $16K |
| 71046 | Radiologic examination, chest; 2 views | 1.3% | 1,292 | 1,229 | $13K |
| 99222 | Initial hospital care, per day, moderate complexity | 1.1% | 98 | 93 | $11K |
36 more codes
| 93975 | <1% | 58 | $7K | |
| 99223 | Prolong inpt eval add15 m | <1% | 49 | $6K |
| 94375 | <1% | 659 | $6K | |
| 99199 | Unlisted special service, procedure or report | <1% | 185 | $4K |
| 0760 | <1% | 3,530 | $4K | |
| 73610 | <1% | 353 | $4K | |
| 71045 | Radiologic examination, chest; single view | <1% | 345 | $3K |
| 74018 | <1% | 249 | $2K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 25 | $2K |
| 73110 | <1% | 209 | $2K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 17 | $1K |
| 99460 | <1% | 26 | $1K | |
| 73080 | <1% | 130 | $1K | |
| 93000 | <1% | 27 | $1K | |
| 93325 | <1% | 20 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 75 | $1K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 12 | $1K |
| 95115 | <1% | 133 | $943.52 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 26 | $911.00 |
| 73562 | <1% | 78 | $775.87 | |
| 93976 | <1% | 13 | $619.58 | |
| 99367 | <1% | 12 | $610.80 | |
| 73100 | <1% | 126 | $591.45 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 13 | $544.66 |
| 76770 | <1% | 18 | $495.28 | |
| 73090 | <1% | 43 | $382.34 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 249 | $307.82 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 29 | $205.24 |
| 73590 | <1% | 23 | $180.82 | |
| 73130 | <1% | 18 | $178.16 | |
| A0429 | Emergency ambulance ride, basic life support | 0% | 1,791 | $0.00 |
| 0510 | 0% | 2,658 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 48 | $0.00 |
| 95012 | 0% | 69 | $0.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 12 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 12 | $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 officialKUHLMAN, HALE (EXECUTIVE DIRECTOR)