Physician
Pediatric Associates of Stockton
Pediatric Associates of Stockton was paid $681K by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 51% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF STOCKTON
STOCKTON, CA 95207
STOCKTON, CA 95207
33aNPI1851384911assigned 08/24/2005
33bProvider typePediatrics Physician
28Total paid$681K
24GClaims112,412
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#175 of 1,490
Median peer was paid$15K
This provider vs. median45×
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 | 12,908 | $101K | |
| 2019 | 16,064 | $76K | |
| 2020 | 15,171 | $90K | |
| 2021 | 18,228 | $129K | |
| 2022 | 18,463 | $105K | |
| 2023 | 17,624 | $96K | |
| 2024incomplete | 13,954 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 51% | 16,315 | 15,966 | $344K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 14% | 6,230 | 5,833 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 29,969 | 27,650 | $74K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.6% | 588 | 578 | $25K |
| 81002 | 3.3% | 8,856 | 8,684 | $23K | |
| 99173 | 2.6% | 4,149 | 4,094 | $17K | |
| 99000 | 1.7% | 2,671 | 2,589 | $12K | |
| 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 | 1.7% | 4,497 | 4,379 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 120 | 113 | $9K |
| 0071A | 1.2% | 210 | 210 | $8K | |
| 0072A | 1.2% | 203 | 203 | $8K | |
| D1206 | Topical application of fluoride varnish | 1.1% | 314 | 309 | $8K |
37 more codes
| 0001A | <1% | 168 | $7K | |
| 0002A | <1% | 166 | $7K | |
| 99406 | <1% | 417 | $5K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 382 | $5K |
| 87430 | <1% | 542 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 476 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,807 | $2K |
| 99188 | <1% | 74 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,933 | $1K |
| 0003A | <1% | 35 | $1K | |
| 90688 | <1% | 2,565 | $1K | |
| 90670 | <1% | 4,143 | $788.25 | |
| 90648 | <1% | 4,444 | $787.50 | |
| 0124A | <1% | 18 | $720.00 | |
| 99460 | <1% | 12 | $674.02 | |
| 0081A | <1% | 15 | $600.00 | |
| 0082A | <1% | 14 | $560.00 | |
| 0083A | <1% | 13 | $520.00 | |
| 92552 | <1% | 7,168 | $484.57 | |
| 0073A | <1% | 12 | $480.00 | |
| 99462 | <1% | 14 | $450.32 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 945 | $384.16 |
| 90651 | <1% | 130 | $366.00 | |
| 90723 | <1% | 1,001 | $330.75 | |
| 90656 | <1% | 257 | $219.00 | |
| 90681 | <1% | 484 | $198.00 | |
| 90680 | <1% | 493 | $51.75 | |
| 90700 | <1% | 588 | $42.75 | |
| 90677 | <1% | 185 | $18.00 | |
| 94760 | <1% | 660 | $17.57 | |
| 90685 | <1% | 992 | $15.75 | |
| 90696 | 0% | 41 | $0.00 | |
| 90716 | 0% | 55 | $0.00 | |
| 90633 | 0% | 907 | $0.00 | |
| 90707 | 0% | 56 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 25 | $0.00 |
| 90710 | 0% | 53 | $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 officialZUMWALT, SUE (OFFICE ADMINISTRATOR)