Pediatric Pathology Medical Group, INC

Pediatric Pathology Medical Group, INC was paid $576K by Medicaid between Jan 2018 and Jun 2020, across 11 billing codes. Its largest line is 88305, Level IV - Surgical pathology, gross and microscopic examination — 69% of everything it billed.

33Billing provider infoPEDIATRIC PATHOLOGY MEDICAL GROUP, INC
MADERA, CA 93638

33aNPI1831256031assigned 01/03/2007

33bProvider typeAnatomic Pathology & Clinical Pathology Physician

28Total paid$576K

24GClaims16,425

24DCodes billed11

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Anatomic Pathology & Clinical Pathology Physician providers in California

Rank by total paid#52 of 222

Median peer was paid$42K

This provider vs. median14×

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	6,336	$224K
2019	7,362	$251K
2020	2,727	$101K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
88305	Level IV - Surgical pathology, gross and microscopic examination	69%	7,024	4,271	$398K
88304		19%	7,071	6,924	$112K
88104		7.2%	1,510	1,330	$41K
88342		2.1%	245	202	$12K
88341		<1%	201	70	$6K
88108		<1%	73	68	$2K
85060		<1%	108	94	$2K
88307		<1%	17	14	$1K
88302		<1%	78	75	$1K
88300		<1%	58	56	$405.87
88311		<1%	40	32	$290.85

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 officialKASSEL, STEPHEN (CEO)