Physician
Southern Orange County Pediatric Associates, INC.
Southern Orange County Pediatric Associates, INC. was paid $169K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoSOUTHERN ORANGE COUNTY PEDIATRIC ASSOCIATES, INC.
LAKE FOREST, CA 92630
LAKE FOREST, CA 92630
33aNPI1881643021assigned 05/07/2006
33bProvider typePediatrics Physician
28Total paid$169K
24GClaims7,522
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#392 of 1,490
Median peer was paid$15K
This provider vs. median11×
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 | 2,623 | $75K | |
| 2019 | 2,961 | $86K | |
| 2023 | 127 | $2K | |
| 2024incomplete | 1,811 | $7K |
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 | 28% | 1,354 | 1,238 | $47K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 2,049 | 1,884 | $41K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 350 | 345 | $17K |
| 96151 | 9.3% | 703 | 694 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 7.2% | 172 | 141 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 126 | 126 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 114 | 113 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 129 | 129 | $6K |
| 92551 | 2.1% | 320 | 318 | $4K | |
| 90686 | 1.3% | 239 | 239 | $2K | |
| 96150 | 1.3% | 92 | 90 | $2K | |
| 90670 | 1.2% | 222 | 218 | $2K |
23 more codes
| 90698 | 1.2% | 221 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 113 | $829.25 |
| 90658 | <1% | 90 | $810.00 | |
| 96156 | <1% | 258 | $806.35 | |
| 90633 | <1% | 81 | $729.00 | |
| 90649 | <1% | 60 | $540.00 | |
| 86403 | <1% | 45 | $418.95 | |
| 90744 | <1% | 44 | $396.00 | |
| 69210 | <1% | 13 | $381.63 | |
| G9920 | Screening performed and negative | <1% | 225 | $290.00 |
| 90680 | <1% | 24 | $216.00 | |
| 90716 | <1% | 15 | $135.00 | |
| 90707 | <1% | 15 | $135.00 | |
| 90685 | <1% | 14 | $126.00 | |
| 99050 | <1% | 14 | $114.80 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $83.88 |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 108 | $0.00 |
| 97802 | 0% | 109 | $0.00 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 0% | 13 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 63 | $0.00 |
| 99173 | 0% | 41 | $0.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 26 | $0.00 |
| 90661 | 0% | 48 | $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 officialJACKSON, MELANIE (PRACTICE ADMINISTRATOR)