Children's Hospital Los Angeles Medical Group
Children's Hospital Los Angeles Medical Group was paid $4.60M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 37% of everything it billed.
LOS ANGELES, CA 90027
Next to other Pediatric Pulmonology Physician providers in California
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 15,974 | $835K | |
| 2019 | 16,880 | $944K | |
| 2020 | 16,375 | $913K | |
| 2021 | 12,430 | $722K | |
| 2022 | 6,274 | $352K | |
| 2023 | 9,051 | $451K | |
| 2024incomplete | 6,923 | $386K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 37% | 25,414 | 9,619 | $1.70M |
| 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 | 22% | 11,234 | 10,224 | $1.00M |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 16% | 20,372 | 9,672 | $728K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.9% | 7,454 | 3,302 | $411K |
| Z4306 | 4.5% | 4,144 | 3,923 | $206K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 1,373 | 1,295 | $186K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 3.4% | 846 | 846 | $157K |
| 94726 | 1.3% | 4,820 | 4,555 | $60K | |
| 94010 | 1.1% | 4,939 | 4,645 | $53K | |
| 95782 | <1% | 332 | 328 | $40K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 374 | 329 | $20K |
| 94729 | <1% | 1,607 | 1,600 | $12K |
10 more codes
| 94727 | <1% | 348 | $5K | |
| 99254 | <1% | 47 | $4K | |
| 99253 | <1% | 57 | $3K | |
| 99245 | <1% | 27 | $3K | |
| 94060 | <1% | 181 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| Z4302 | <1% | 190 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $1K |
| Z4305 | <1% | 13 | $1K | |
| T1014 | Telehealth transmission, per minute, professional services bill separately | <1% | 97 | $688.44 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.