Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Cardiologists of Northern California INC

Pediatric Cardiologists of Northern California INC was paid $1.57M by Medicaid between Jan 2018 and Jun 2019, across 12 billing codes. Its largest line is 93303, Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study — 31% of everything it billed.

33Billing provider infoPEDIATRIC CARDIOLOGISTS OF NORTHERN CALIFORNIA INC
SACRAMENTO, CA 95819
33aNPI1922372663assigned 02/27/2012
28Total paid$1.57M
24GClaims17,164
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers

Next to other Pediatric Cardiology Physician providers in California

Rank by total paid#13 of 45
Median peer was paid$120K
This provider vs. median13×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201811,278$1.09M
20195,886$479K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 31% 3,448 3,256 $486K
93320 16% 3,449 3,255 $247K
93325 15% 3,595 3,391 $231K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 12% 644 641 $190K
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 7.2% 1,312 1,196 $113K
99244 Office or other outpatient consultation, moderate to high complexity 7.1% 1,081 1,072 $111K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.7% 605 548 $74K
93000 4.0% 2,211 2,186 $63K
99243 2.3% 428 427 $37K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 46 44 $6K
Z4306 <1% 86 83 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 259 248 $3K

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 officialJURIS, ANDREW (PRESIDENT)