Physician
Kids Care Pediatrics Medical Group, INC.
Kids Care Pediatrics Medical Group, INC. was paid $8.04M by Medicaid between Jan 2018 and Nov 2024, across 78 billing codes. Its largest line is 96156, — 15% of everything it billed.
33Billing provider infoKIDS CARE PEDIATRICS MEDICAL GROUP, INC.
ANAHEIM, CA 92801
ANAHEIM, CA 92801
33aNPI1881801835assigned 05/17/2007
33bProvider typePediatric Hospice and Palliative Medicine Physician
28Total paid$8.04M
24GClaims341,137
24DCodes billed78
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Hospice and Palliative Medicine Physician providers in California
Rank by total paid#1 of 6
Median peer was paid$174K
This provider vs. median46×
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 | 37,219 | $1.06M | |
| 2019 | 49,730 | $1.17M | |
| 2020 | 45,953 | $1.30M | |
| 2021 | 54,011 | $1.58M | |
| 2022 | 51,633 | $1.48M | |
| 2023 | 53,297 | $1.09M | |
| 2024incomplete | 49,294 | $372K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 15% | 18,520 | 18,457 | $1.25M | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 27,071 | 24,101 | $963K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 11% | 30,698 | 29,789 | $873K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 8,107 | 8,095 | $511K |
| 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 | 6.0% | 8,750 | 8,120 | $480K |
| 97802 | 5.6% | 20,144 | 20,100 | $449K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 7,368 | 7,360 | $380K |
| G9920 | Screening performed and negative | 4.2% | 15,516 | 15,491 | $335K |
| 92551 | 3.1% | 21,216 | 21,119 | $252K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 5,547 | 5,530 | $252K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.2% | 1,447 | 1,443 | $178K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.2% | 2,705 | 2,160 | $174K |
66 more codes
| 96151 | 1.9% | 7,094 | $157K | |
| 80061 | Lipid panel | 1.9% | 13,606 | $152K |
| G0444 | Annual depression screening, 5 to 15 minutes | 1.6% | 7,436 | $132K |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.6% | 9,431 | $127K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 1.6% | 8,581 | $126K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 2,435 | $119K |
| 99406 | 1.5% | 10,737 | $119K | |
| 99173 | 1.4% | 6,638 | $111K | |
| 96127 | 1.4% | 9,797 | $110K | |
| 90686 | <1% | 8,287 | $80K | |
| 85018 | <1% | 24,613 | $77K | |
| 81005 | <1% | 21,679 | $59K | |
| 90620 | <1% | 3,156 | $42K | |
| 90651 | <1% | 3,466 | $37K | |
| 96160 | <1% | 1,715 | $36K | |
| 90619 | <1% | 1,110 | $32K | |
| H0049 | Alcohol and/or drug screening | <1% | 1,297 | $31K |
| 90672 | <1% | 1,783 | $26K | |
| D1206 | Topical application of fluoride varnish | <1% | 1,437 | $26K |
| 83655 | <1% | 1,807 | $25K | |
| 90670 | <1% | 2,141 | $25K | |
| 90734 | <1% | 2,222 | $24K | |
| 90716 | <1% | 1,735 | $20K | |
| 90707 | <1% | 1,684 | $17K | |
| 90633 | <1% | 1,963 | $17K | |
| 90698 | <1% | 1,827 | $17K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 514 | $16K |
| 90715 | <1% | 1,591 | $15K | |
| 90700 | <1% | 1,452 | $14K | |
| 87110 | <1% | 872 | $14K | |
| 96150 | <1% | 585 | $13K | |
| 90674 | <1% | 2,455 | $13K | |
| 90680 | <1% | 1,325 | $12K | |
| 99188 | <1% | 678 | $11K | |
| 90744 | <1% | 1,160 | $10K | |
| 99383 | <1% | 141 | $10K | |
| 90713 | <1% | 814 | $8K | |
| 0071A | <1% | 190 | $8K | |
| 86580 | <1% | 820 | $7K | |
| 0072A | <1% | 162 | $6K | |
| 91320 | <1% | 47 | $6K | |
| 0124A | <1% | 121 | $5K | |
| 99384 | <1% | 53 | $5K | |
| 90688 | <1% | 363 | $4K | |
| 90671 | <1% | 423 | $3K | |
| 90658 | <1% | 342 | $3K | |
| 90648 | <1% | 297 | $3K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 150 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 351 | $3K |
| 99381 | <1% | 28 | $2K | |
| 99382 | <1% | 24 | $2K | |
| 90685 | <1% | 168 | $2K | |
| 90661 | <1% | 418 | $2K | |
| 0053A | <1% | 38 | $2K | |
| 91319 | <1% | 12 | $1K | |
| 0154A | <1% | 26 | $1K | |
| 69210 | <1% | 26 | $947.95 | |
| 99000 | <1% | 207 | $945.64 | |
| 69209 | <1% | 64 | $944.95 | |
| S3005 | Performance measurement, evaluation of patient self assessment, depression | <1% | 35 | $875.00 |
| 90710 | <1% | 79 | $711.00 | |
| 90696 | <1% | 89 | $693.00 | |
| 90660 | <1% | 126 | $351.00 | |
| 90649 | <1% | 34 | $306.00 | |
| 81000 | <1% | 32 | $224.33 | |
| 85999 | <1% | 59 | $177.59 |
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 officialBRADFORD, ROSEMARY (HEALTHCARE ADMINSTRATOR)