Loma View Pediatric Medical Clinic, INC.

Loma View Pediatric Medical Clinic, INC. was paid $56K by Medicaid between Jan 2018 and Dec 2020, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.

33Billing provider infoLOMA VIEW PEDIATRIC MEDICAL CLINIC, INC.
REDLANDS, CA 92374

33aNPI1902928393assigned 04/04/2007

33bProvider typeClinic/Center

28Total paid$56K

24GClaims3,451

24DCodes billed14

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Clinic/Center providers in California

Rank by total paid#298 of 504

Median peer was paid$102K

This provider vs. median0.5×

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	1,424	$21K
2019	1,033	$14K
2020	994	$21K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	692	655	$18K
96156		18%	117	117	$10K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	149	140	$6K
92551		11%	544	526	$6K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	9.8%	100	100	$5K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	6.7%	183	169	$4K
81002		2.5%	636	612	$1K
85018		2.4%	639	618	$1K
90686		2.2%	135	135	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.1%	16	13	$592.32
99173		1.1%	146	135	$588.30
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	45	45	$476.55

2 more codes

90688		<1%	37	$333.00
90651		<1%	12	$108.00

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 officialCRUZ, ERNESTO (PRESIDENT)