Physician
Oc Pediatrics Medical Group INC
Oc Pediatrics Medical Group INC was paid $605K by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is 96156, — 24% of everything it billed.
33Billing provider infoOC PEDIATRICS MEDICAL GROUP INC
FOOTHILL RANCH, CA 92610
FOOTHILL RANCH, CA 92610
33aNPI1912265257assigned 04/24/2012
33bProvider typePediatrics Physician
28Total paid$605K
24GClaims20,935
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#199 of 1,490
Median peer was paid$15K
This provider vs. median40×
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 | 2,359 | $66K | |
| 2019 | 3,675 | $109K | |
| 2020 | 2,927 | $98K | |
| 2021 | 3,488 | $123K | |
| 2022 | 2,846 | $119K | |
| 2023 | 3,337 | $84K | |
| 2024incomplete | 2,303 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 96156 | 24% | 2,229 | 2,222 | $147K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 23% | 2,539 | 2,290 | $139K |
| 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% | 3,000 | 2,736 | $72K |
| 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 | 9.7% | 1,608 | 1,390 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 746 | 714 | $32K |
| 92551 | 4.5% | 2,338 | 2,248 | $27K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.2% | 548 | 530 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 273 | 270 | $18K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 855 | 774 | $17K |
| G9920 | Screening performed and negative | 2.8% | 970 | 968 | $17K |
| 96151 | 2.7% | 680 | 675 | $16K | |
| 90686 | 1.1% | 874 | 873 | $7K |
21 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 434 | $4K |
| 85018 | <1% | 1,208 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 78 | $4K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 450 | $3K |
| 81002 | <1% | 916 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 144 | $3K |
| 96127 | <1% | 458 | $2K | |
| 0072A | <1% | 30 | $1K | |
| 0071A | <1% | 29 | $1K | |
| 96150 | <1% | 42 | $1K | |
| 90674 | <1% | 84 | $756.00 | |
| 99173 | <1% | 76 | $641.23 | |
| 90670 | <1% | 62 | $558.00 | |
| 90633 | <1% | 62 | $441.00 | |
| 90648 | <1% | 40 | $360.00 | |
| 90734 | <1% | 27 | $243.00 | |
| 90620 | <1% | 13 | $117.00 | |
| 90651 | <1% | 13 | $117.00 | |
| 90680 | <1% | 12 | $108.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $88.53 |
| 92552 | <1% | 85 | $33.77 |
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 officialHASSAN-ELSAYED, AMINA (PRESIDENT)