Physician
South Area Pediatric Medical Group
South Area Pediatric Medical Group was paid $953K by Medicaid between Jan 2018 and Nov 2024, across 68 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 21% of everything it billed.
33Billing provider infoSOUTH AREA PEDIATRIC MEDICAL GROUP
SACRAMENTO, CA 95823
SACRAMENTO, CA 95823
33aNPI1801093687assigned 06/27/2007
33bProvider typePediatrics Physician
28Total paid$953K
24GClaims156,754
24DCodes billed68
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#140 of 1,490
Median peer was paid$15K
This provider vs. median64×
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 | 19,826 | $203K | |
| 2019 | 28,180 | $152K | |
| 2020 | 25,917 | $113K | |
| 2021 | 24,958 | $97K | |
| 2022 | 25,194 | $128K | |
| 2023 | 18,264 | $162K | |
| 2024incomplete | 14,415 | $99K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 21% | 5,212 | 5,021 | $198K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 12,479 | 11,232 | $128K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 6,291 | 6,219 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 4,202 | 4,169 | $75K |
| 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 | 6.5% | 3,302 | 3,090 | $62K |
| 99381 | 6.3% | 1,187 | 977 | $60K | |
| G9920 | Screening performed and negative | 5.5% | 3,724 | 3,668 | $53K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.9% | 2,349 | 2,216 | $47K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 2,537 | 2,527 | $37K |
| 96156 | 2.0% | 1,103 | 1,101 | $19K | |
| 92552 | 1.6% | 6,320 | 6,257 | $15K | |
| 90670 | 1.5% | 4,892 | 4,821 | $14K |
56 more codes
| 90680 | 1.4% | 3,433 | $13K | |
| 90698 | 1.3% | 3,214 | $12K | |
| 96112 | 1.0% | 7,637 | $10K | |
| 97803 | 1.0% | 2,303 | $10K | |
| 90744 | <1% | 2,331 | $9K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 9,854 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,001 | $8K |
| 99188 | <1% | 1,803 | $7K | |
| 97802 | <1% | 8,863 | $6K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 226 | $5K |
| 90633 | <1% | 2,810 | $3K | |
| 90688 | <1% | 3,267 | $3K | |
| 90700 | <1% | 2,571 | $3K | |
| 90697 | <1% | 809 | $2K | |
| 99401 | <1% | 8,809 | $2K | |
| 90651 | <1% | 1,196 | $2K | |
| 90710 | <1% | 1,866 | $2K | |
| 85018 | <1% | 3,664 | $2K | |
| 92551 | <1% | 2,821 | $2K | |
| 96111 | <1% | 1,021 | $2K | |
| 99383 | <1% | 50 | $2K | |
| 83655 | <1% | 345 | $1K | |
| 85014 | <1% | 4,577 | $1K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 457 | $1K |
| 90713 | <1% | 1,071 | $1K | |
| 90686 | <1% | 2,163 | $956.27 | |
| D0120 | Dental checkup, returning patient | <1% | 7,434 | $933.48 |
| 99406 | <1% | 497 | $831.10 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 47 | $828.42 |
| 90677 | <1% | 245 | $726.50 | |
| 86580 | <1% | 701 | $653.88 | |
| 99384 | <1% | 15 | $618.31 | |
| 90647 | <1% | 727 | $612.00 | |
| 90734 | <1% | 958 | $497.07 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 116 | $455.65 |
| 99173 | <1% | 3,582 | $442.51 | |
| 90649 | <1% | 385 | $382.50 | |
| 90658 | <1% | 240 | $382.23 | |
| 90657 | <1% | 145 | $380.96 | |
| 90716 | <1% | 337 | $352.91 | |
| 81000 | <1% | 3,987 | $344.44 | |
| 90671 | <1% | 59 | $315.00 | |
| 96127 | <1% | 374 | $312.58 | |
| 90707 | <1% | 315 | $306.00 | |
| 90715 | <1% | 422 | $297.90 | |
| 90648 | <1% | 308 | $288.00 | |
| 90685 | <1% | 329 | $282.00 | |
| 90620 | <1% | 332 | $188.55 | |
| 87081 | <1% | 238 | $139.72 | |
| 1032F | <1% | 2,155 | $96.00 | |
| 94760 | <1% | 231 | $38.95 | |
| 90656 | <1% | 31 | $36.00 | |
| G0445 | High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes | 0% | 319 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 13 | $0.00 |
| 96161 | 0% | 289 | $0.00 | |
| D1330 | 0% | 163 | $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 officialSAIED, RAHAT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Elk Grove Pediatrics, INC | Elk Grove, CA | $1.02M |
| Pediatric Urgent Care of Sacramento, INC | Sacramento, CA | $297K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.