Physician
Castro Valley Pediatrics
Castro Valley Pediatrics was paid $756K by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 19% of everything it billed.
33Billing provider infoCASTRO VALLEY PEDIATRICS
HAYWARD, CA 94541
HAYWARD, CA 94541
33aNPI1801933668assigned 01/31/2007
33bProvider typePediatrics Physician
28Total paid$756K
24GClaims76,532
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#166 of 1,490
Median peer was paid$15K
This provider vs. median50×
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 | 14,137 | $75K | |
| 2019 | 13,815 | $69K | |
| 2020 | 9,041 | $38K | |
| 2021 | 10,723 | $24K | |
| 2022 | 8,231 | $72K | |
| 2023 | 10,848 | $216K | |
| 2024incomplete | 9,737 | $262K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 4,004 | 3,959 | $141K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 19,106 | 17,686 | $123K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 19,107 | 13,966 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 2,768 | 2,750 | $96K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 1,288 | 1,237 | $76K |
| G9920 | Screening performed and negative | 6.5% | 2,554 | 2,543 | $49K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.2% | 866 | 857 | $47K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.2% | 274 | 263 | $31K |
| 90461 | 3.7% | 4,439 | 3,954 | $28K | |
| 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 | 2.8% | 1,923 | 1,825 | $21K |
| 90480 | 1.7% | 229 | 227 | $13K | |
| 92551 | <1% | 6,279 | 6,261 | $5K |
23 more codes
| 90686 | <1% | 458 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 713 | $3K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 355 | $625.44 |
| 90473 | <1% | 29 | $351.00 | |
| 99188 | <1% | 13 | $351.00 | |
| 0072A | <1% | 163 | $280.00 | |
| 0071A | <1% | 141 | $280.00 | |
| 91321 | <1% | 13 | $220.00 | |
| 90671 | <1% | 24 | $206.25 | |
| 85014 | <1% | 2,363 | $193.84 | |
| 96127 | <1% | 407 | $98.78 | |
| 90698 | <1% | 12 | $82.00 | |
| 90670 | <1% | 12 | $72.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 142 | $50.72 |
| 81000 | <1% | 1,359 | $39.76 | |
| 94760 | <1% | 16 | $12.30 | |
| 99173 | <1% | 4,196 | $8.19 | |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 253 | $7.44 |
| 99441 | 0% | 2,068 | $0.00 | |
| 91307 | 0% | 13 | $0.00 | |
| 0073A | 0% | 12 | $0.00 | |
| 99442 | 0% | 909 | $0.00 | |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 24 | $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 officialVANCE, CAREN (PARTNER PHYSICIAN)