Physician
Sierra Pediatric Cardiology
Sierra Pediatric Cardiology was paid $5.11M by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 36% of everything it billed.
33Billing provider infoSIERRA PEDIATRIC CARDIOLOGY
ONTARIO, CA 91761
ONTARIO, CA 91761
33aNPI1881105047assigned 10/16/2017
33bProvider typePediatric Cardiology Physician
28Total paid$5.11M
24GClaims61,140
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in California
Rank by total paid#6 of 45
Median peer was paid$120K
This provider vs. median43×
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 | 3,607 | $285K | |
| 2019 | 8,714 | $676K | |
| 2020 | 7,431 | $578K | |
| 2021 | 9,826 | $789K | |
| 2022 | 10,267 | $810K | |
| 2023 | 11,454 | $998K | |
| 2024incomplete | 9,841 | $979K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 36% | 11,898 | 11,798 | $1.84M |
| 93325 | 18% | 11,896 | 11,797 | $918K | |
| 93320 | 18% | 11,795 | 11,696 | $899K | |
| 99205 | Prolong outpt/office vis | 7.3% | 3,232 | 3,203 | $373K |
| 93000 | 7.3% | 12,981 | 12,848 | $371K | |
| 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 | 5.9% | 3,530 | 3,509 | $304K |
| 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 | 5.2% | 3,653 | 3,579 | $264K |
| 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% | 1,123 | 1,122 | $71K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.0% | 538 | 534 | $52K |
| 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% | 341 | 335 | $11K |
| 93015 | <1% | 127 | 126 | $11K | |
| 93228 | <1% | 26 | 26 | $520.52 |
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 officialLAI, ELIZABETH (PHYSICIAN/OWNER)