Physician
LA Clinica Del Nino PC
LA Clinica Del Nino PC was paid $7.66M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 17% of everything it billed.
33Billing provider infoLA CLINICA DEL NINO PC
NORCROSS, GA 30092
NORCROSS, GA 30092
33aNPI1922131374assigned 03/14/2007
33bProvider typePediatrics Physician
28Total paid$7.66M
24GClaims202,823
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Georgia
Rank by total paid#11 of 220
Median peer was paid$57K
This provider vs. median134×
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 | 29,510 | $1.12M | |
| 2019 | 30,056 | $1.11M | |
| 2020 | 29,390 | $997K | |
| 2021 | 29,177 | $1.03M | |
| 2022 | 35,165 | $1.45M | |
| 2023 | 30,287 | $1.16M | |
| 2024incomplete | 19,238 | $791K |
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 | 17% | 18,657 | 18,066 | $1.27M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 22,464 | 21,938 | $1.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 9,826 | 9,553 | $987K |
| 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 | 11% | 8,311 | 8,123 | $837K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 7,531 | 7,395 | $756K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.1% | 17,487 | 16,805 | $696K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.7% | 6,072 | 5,933 | $665K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.7% | 6,286 | 6,076 | $591K |
| 87428 | 2.2% | 2,555 | 2,514 | $169K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 10,663 | 10,443 | $160K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.4% | 6,972 | 3,551 | $109K |
| 99429 | <1% | 6,552 | 3,762 | $69K |
44 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 6,325 | $68K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,749 | $59K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,636 | $44K |
| 99188 | <1% | 2,486 | $40K | |
| 96127 | <1% | 7,588 | $33K | |
| 99173 | <1% | 5,526 | $17K | |
| 92551 | <1% | 5,394 | $17K | |
| 96161 | <1% | 4,297 | $15K | |
| 96160 | <1% | 3,511 | $11K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 26 | $3K |
| 69210 | <1% | 58 | $3K | |
| 90651 | <1% | 1,979 | $2K | |
| 99381 | <1% | 16 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 79 | $1K |
| 94664 | <1% | 68 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 60 | $1K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 17 | $862.98 |
| 36416 | <1% | 1,802 | $795.92 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,210 | $691.35 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,023 | $605.00 |
| 81002 | <1% | 148 | $456.51 | |
| 90670 | <1% | 5,252 | $217.24 | |
| 83655 | <1% | 33 | $210.15 | |
| 94761 | <1% | 16 | $146.08 | |
| 90633 | <1% | 2,937 | $105.44 | |
| 86308 | <1% | 13 | $82.14 | |
| 90686 | <1% | 4,731 | $62.06 | |
| 90715 | <1% | 344 | $32.27 | |
| J7611 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg | <1% | 31 | $1.45 |
| 90723 | 0% | 4,634 | $0.00 | |
| 90647 | 0% | 4,564 | $0.00 | |
| 90656 | 0% | 520 | $0.00 | |
| 90620 | 0% | 835 | $0.00 | |
| 90696 | 0% | 217 | $0.00 | |
| 90619 | 0% | 56 | $0.00 | |
| 90716 | 0% | 36 | $0.00 | |
| 90671 | 0% | 1,117 | $0.00 | |
| 90734 | 0% | 1,264 | $0.00 | |
| 90700 | 0% | 540 | $0.00 | |
| 90710 | 0% | 2,046 | $0.00 | |
| 90681 | 0% | 1,955 | $0.00 | |
| 5250F | 0% | 241 | $0.00 | |
| 90707 | 0% | 37 | $0.00 | |
| 90685 | 0% | 30 | $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 officialMONTANA, SUZANA (BUSINESS ADMINISTRATOR)