Pico Rivera Womens and Children INC

Pico Rivera Womens and Children INC was paid $28K by Medicaid between Sep 2021 and Oct 2024, across 21 billing codes. Its largest line is G9920, Screening performed and negative — 36% of everything it billed.

33Billing provider infoPICO RIVERA WOMENS AND CHILDREN INC
PICO RIVERA, CA 90660

33aNPI1841865839assigned 05/24/2021

33bProvider typePediatrics Physician

28Total paid$28K

24GClaims2,340

24DCodes billed21

24AFirst – last monthSep 2021 – Oct 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#672 of 1,490

Median peer was paid$15K

This provider vs. median1.9×

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
2021	21	$0.00
2022	403	$6K
2023	1,244	$13K
2024incomplete	672	$9K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G9920	Screening performed and negative	36%	637	635	$10K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	31%	472	440	$9K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	8.8%	51	51	$2K
92551		7.5%	336	336	$2K
90460	Immunization administration through 18 years of age via any route, first or only component	5.2%	181	76	$1K
0071A		2.3%	16	16	$640.00
0072A		2.0%	14	14	$560.00
90713		1.7%	61	61	$461.25
90700		1.1%	40	40	$301.50
99000		<1%	76	75	$187.28
90670		<1%	25	25	$184.50
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	12	12	$180.00

9 more codes

92552		<1%	14	$147.43
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	268	$130.94
90647		<1%	14	$117.00
90648		<1%	12	$76.50
92060		<1%	13	$15.16
3074F		0%	31	$0.00
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	0%	12	$0.00
3078F		0%	29	$0.00
99173		0%	26	$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 officialSULTANA, SAYEEDA (MEDICAL DIRECTOR)