Physician
East Bay Pediatrics INC
East Bay Pediatrics INC was paid $797K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 79% of everything it billed.
33Billing provider infoEAST BAY PEDIATRICS INC
PLEASANTON, CA 94566
PLEASANTON, CA 94566
33aNPI1831291350assigned 09/04/2006
33bProvider typePediatrics Physician
28Total paid$797K
24GClaims17,484
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#158 of 1,490
Median peer was paid$15K
This provider vs. median53×
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 | 2,653 | $114K | |
| 2019 | 2,213 | $99K | |
| 2020 | 2,059 | $92K | |
| 2021 | 2,367 | $103K | |
| 2022 | 2,641 | $112K | |
| 2023 | 2,677 | $118K | |
| 2024incomplete | 2,874 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 79% | 11,551 | 9,480 | $627K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 825 | 819 | $46K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.4% | 275 | 271 | $27K |
| 92551 | 3.4% | 2,104 | 2,095 | $27K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 399 | 395 | $27K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 273 | 271 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.0% | 251 | 235 | $8K |
| 99188 | <1% | 358 | 356 | $8K | |
| 90686 | <1% | 840 | 838 | $7K | |
| 90672 | <1% | 244 | 244 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | 12 | $652.98 |
| 90651 | <1% | 71 | 70 | $619.00 |
11 more codes
| 90674 | <1% | 91 | $527.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25 | $325.51 |
| 90734 | <1% | 29 | $245.00 | |
| 90649 | <1% | 31 | $220.00 | |
| 90633 | <1% | 26 | $200.00 | |
| 90716 | <1% | 14 | $130.00 | |
| 90670 | <1% | 13 | $129.00 | |
| 90648 | <1% | 13 | $129.00 | |
| 90707 | <1% | 14 | $120.00 | |
| 90685 | <1% | 12 | $120.00 | |
| 90715 | <1% | 12 | $90.00 |
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 officialJUMIG, ELMER (PRESIDENT)
Parent organizationEAST BAY PEDIATRICS INC