Sacramento Valley Pediatric Medical Group INC.

Sacramento Valley Pediatric Medical Group INC. was paid $3.66M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 14% of everything it billed.

33Billing provider infoSACRAMENTO VALLEY PEDIATRIC MEDICAL GROUP INC.
SACRAMENTO, CA 95823

33aNPI1851423883assigned 03/13/2007

33bProvider typePediatrics Physician

28Total paid$3.66M

24GClaims569,285

24DCodes billed75

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#42 of 1,490

Median peer was paid$15K

This provider vs. median244×

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	57,933	$649K
2019	99,329	$637K
2020	84,175	$635K
2021	92,417	$478K
2022	84,619	$447K
2023	84,937	$532K
2024incomplete	65,875	$288K

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	14%	36,666	33,894	$529K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	16,246	15,799	$439K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	10%	56,878	53,101	$378K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	10%	9,521	9,211	$367K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	9.4%	12,631	12,393	$344K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.4%	13,874	13,437	$343K
96110	Developmental screening, with scoring and documentation, per standardized instrument	5.5%	50,032	48,895	$201K
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	5.4%	2,885	2,834	$197K
99381		5.2%	3,010	2,944	$192K
40819		1.9%	616	616	$71K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.7%	9,970	9,675	$64K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.4%	2,900	2,873	$53K

63 more codes

99223	Prolong inpt eval add15 m	1.4%	2,233	$51K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	1.4%	1,807	$50K
97802		<1%	45,356	$34K
99239	Hospital discharge day management, more than 30 minutes	<1%	2,029	$31K
99383		<1%	1,357	$30K
90647		<1%	8,472	$22K
92552		<1%	34,900	$22K
90723		<1%	8,175	$22K
90686		<1%	19,353	$21K
92557		<1%	1,239	$20K
90680		<1%	7,058	$20K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	3,098	$20K
99173		<1%	15,847	$19K
90670		<1%	8,976	$19K
99384		<1%	611	$12K
99382		<1%	617	$10K
85018		<1%	23,829	$9K
90651		<1%	5,762	$5K
90677		<1%	1,479	$5K
90619		<1%	1,731	$4K
D0120	Dental checkup, returning patient	<1%	33,461	$4K
99401		<1%	34,195	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	424	$4K
90633		<1%	5,564	$4K
90716		<1%	5,735	$3K
90700		<1%	5,238	$3K
90688		<1%	2,900	$3K
90707		<1%	5,355	$3K
90621		<1%	4,148	$3K
86580		<1%	4,746	$3K
41010		<1%	138	$2K
90734		<1%	3,477	$2K
90685		<1%	532	$2K
90648		<1%	1,037	$2K
90715		<1%	3,193	$2K
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	<1%	971	$2K
81000		<1%	4,312	$2K
90713		<1%	2,842	$2K
99188		<1%	606	$2K
99215	Doctor's office visit, returning patient (complex)	<1%	55	$1K
92499		<1%	629	$1K
0072A		<1%	55	$880.00
99072		<1%	7,801	$766.50
90472	Immunization administration, each additional vaccine (list separately)	<1%	72	$727.85
0154A		<1%	17	$680.00
81005		<1%	8,400	$556.51
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	573	$342.00
0071A		<1%	49	$320.00
83026		<1%	85	$249.83
90656		<1%	863	$249.15
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	3,027	$233.34
92551		<1%	110	$199.80
D1206	Topical application of fluoride varnish	<1%	98	$196.38
99232	Hospital visit by a doctor, follow-up day	<1%	43	$189.02
81003		<1%	71	$51.15
90710		<1%	24	$46.35
90461		0%	328	$0.00
91300		0%	40	$0.00
90658		0%	41	$0.00
99172		0%	17,832	$0.00
99174		0%	905	$0.00
91307		0%	93	$0.00
99441		0%	42	$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 officialNAVEA, LOURDES (CORPORATE VICE PRESIDENT)