Salinas Pediatric Medical Group INC

Salinas Pediatric Medical Group INC was paid $9.04M by Medicaid between Jan 2018 and Nov 2024, across 77 billing codes. Its largest line is 96110, Developmental screening, with scoring and documentation, per standardized instrument — 16% of everything it billed.

33Billing provider infoSALINAS PEDIATRIC MEDICAL GROUP INC
SALINAS, CA 93901

33aNPI1932194230assigned 09/13/2005

33bProvider typePediatrics Physician

28Total paid$9.04M

24GClaims348,363

24DCodes billed77

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#23 of 1,490

Median peer was paid$15K

This provider vs. median603×

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	47,959	$988K
2019	45,130	$912K
2020	47,046	$1.06M
2021	55,180	$1.46M
2022	54,256	$1.58M
2023	51,318	$1.55M
2024incomplete	47,474	$1.48M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
96110	Developmental screening, with scoring and documentation, per standardized instrument	16%	12,736	10,578	$1.45M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	15%	15,600	15,575	$1.31M
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	12%	10,564	10,562	$1.10M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	11%	14,035	13,713	$1.02M
92551		7.7%	32,921	32,805	$697K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.1%	8,047	7,817	$554K
G9920	Screening performed and negative	4.3%	13,346	13,285	$385K
99188		2.6%	8,824	8,625	$231K
90686		2.4%	12,609	12,515	$218K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	49,842	46,910	$199K
99173		2.2%	29,259	29,162	$195K
87428		2.1%	3,254	3,216	$188K

65 more codes

99214	Doctor's office visit, returning patient (more involved)	1.7%	31,824	$154K
G0442	Annual alcohol misuse screening, 5 to 15 minutes	1.3%	5,009	$122K
90670		1.2%	5,928	$107K
90698		1.0%	5,183	$92K
90680		<1%	4,357	$78K
90633		<1%	3,777	$66K
90744		<1%	3,641	$64K
90707		<1%	3,479	$61K
90716		<1%	3,462	$60K
99381		<1%	668	$60K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	3,189	$51K
90651		<1%	2,780	$48K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	594	$41K
Q3014	Telehealth originating site facility fee	<1%	1,211	$40K
83655		<1%	4,002	$39K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	3,395	$31K
81003		<1%	18,470	$31K
96127		<1%	3,857	$27K
90734		<1%	1,480	$25K
90621		<1%	1,422	$24K
99460		<1%	300	$21K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	3,156	$19K
90700		<1%	1,043	$18K
85018		<1%	10,362	$17K
90696		<1%	969	$17K
90677		<1%	922	$17K
90480		<1%	365	$15K
90648		<1%	794	$14K
90619		<1%	793	$13K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	<1%	2,330	$12K
90715		<1%	620	$10K
90656		<1%	566	$10K
90688		<1%	487	$9K
99204	Doctor's office visit, new patient (more involved)	<1%	249	$8K
99238	Hospital discharge day management, 30 minutes or less	<1%	129	$7K
99203	Doctor's office visit, new patient (routine)	<1%	221	$7K
0154A		<1%	144	$6K
90685		<1%	285	$5K
0124A		<1%	118	$5K
T1014	Telehealth transmission, per minute, professional services bill separately	<1%	646	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	1,128	$3K
90672		<1%	164	$3K
99382		<1%	29	$3K
G9919	Screening performed and positive and provision of recommendations	<1%	87	$3K
99383		<1%	17	$2K
0053A		<1%	44	$2K
0072A		<1%	42	$2K
83036	Hemoglobin; glycosylated (A1C)	<1%	170	$2K
91319		<1%	127	$1K
0073A		<1%	33	$1K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	1,711	$1K
0081A		<1%	28	$1K
0082A		<1%	26	$1K
90710		<1%	50	$882.00
91320		<1%	64	$822.20
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	381	$727.36
0071A		<1%	16	$640.00
87807		<1%	75	$569.23
91318		<1%	13	$520.00
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	548	$496.84
69210		<1%	66	$380.85
80061	Lipid panel	<1%	32	$376.64
90381		<1%	12	$216.00
36416		<1%	16	$16.54
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	220	$8.90

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 officialBRUM, PAULA (PRACTICE MANAGER)