Clinic
San Michael Pediatrics INC
San Michael Pediatrics INC was paid $6.46M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoSAN MICHAEL PEDIATRICS INC
BAKERSFIELD, CA 93308
BAKERSFIELD, CA 93308
33aNPI1821292012assigned 06/12/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$6.46M
24GClaims216,469
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in California
Rank by total paid#18 of 422
Median peer was paid$25K
This provider vs. median263×
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 | 25,355 | $597K | |
| 2019 | 30,354 | $729K | |
| 2020 | 27,349 | $672K | |
| 2021 | 32,661 | $873K | |
| 2022 | 34,010 | $940K | |
| 2023 | 31,962 | $902K | |
| 2024incomplete | 34,778 | $1.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 74,564 | 50,491 | $3.24M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 6,935 | 6,896 | $421K |
| G9920 | Screening performed and negative | 5.9% | 10,864 | 10,801 | $381K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.5% | 6,368 | 6,316 | $357K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 4,154 | 4,137 | $316K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 4,008 | 3,846 | $204K |
| 99188 | 2.9% | 9,323 | 9,228 | $189K | |
| 92551 | 2.7% | 14,506 | 14,410 | $177K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 2,437 | 2,414 | $171K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 3,527 | 3,256 | $140K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.1% | 1,687 | 1,664 | $134K |
| 90649 | 1.4% | 469 | 467 | $88K |
48 more codes
| 99173 | <1% | 14,423 | $65K | |
| 90686 | <1% | 5,128 | $52K | |
| 90700 | <1% | 4,230 | $46K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 2,636 | $39K |
| 90670 | <1% | 3,156 | $34K | |
| 90713 | <1% | 3,140 | $34K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 961 | $32K |
| 85018 | <1% | 14,582 | $27K | |
| 90648 | <1% | 2,436 | $27K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,003 | $26K |
| D1206 | Topical application of fluoride varnish | <1% | 1,137 | $25K |
| 90716 | <1% | 2,164 | $23K | |
| 90633 | <1% | 2,055 | $22K | |
| 90707 | <1% | 2,046 | $22K | |
| 90744 | <1% | 1,849 | $20K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 639 | $20K |
| 90680 | <1% | 1,678 | $18K | |
| 90651 | <1% | 1,670 | $17K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 309 | $12K |
| 90621 | <1% | 606 | $11K | |
| 90715 | <1% | 1,033 | $11K | |
| 90734 | <1% | 989 | $10K | |
| 90619 | <1% | 737 | $8K | |
| 99381 | <1% | 83 | $8K | |
| G0447 | Face-to-face behavioral counseling for obesity, 15 minutes | <1% | 1,539 | $5K |
| 90698 | <1% | 458 | $5K | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 2,484 | $4K |
| 90677 | <1% | 329 | $4K | |
| 99383 | <1% | 25 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 25 | $3K |
| 83655 | <1% | 241 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 204 | $1K |
| 97802 | <1% | 1,413 | $1K | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 38 | $1K |
| 99442 | <1% | 36 | $1K | |
| 90658 | <1% | 108 | $1K | |
| 90660 | <1% | 116 | $1K | |
| J7612 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg | <1% | 107 | $727.94 |
| 90657 | <1% | 45 | $555.72 | |
| 90655 | <1% | 42 | $472.50 | |
| 86580 | <1% | 70 | $235.20 | |
| 90647 | <1% | 16 | $168.75 | |
| 4004F | <1% | 277 | $156.78 | |
| 81001 | <1% | 74 | $156.64 | |
| 90710 | <1% | 12 | $56.25 | |
| 0001A | 0% | 13 | $0.00 | |
| 3008F | 0% | 249 | $0.00 | |
| 0002A | 0% | 16 | $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 officialSHAFIC, EMAD (OFFICER)