Romie Lane Pediatric Group, INC
Romie Lane Pediatric Group, INC was paid $841K by Medicaid between Jan 2018 and Nov 2024, across 44 billing codes. Its largest line is 92551, — 13% of everything it billed.
33Billing provider infoROMIE LANE PEDIATRIC GROUP, INC
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1982601167assigned 07/04/2005
33bProvider typeSpecialist
28Total paid$841K
24GClaims43,430
24DCodes billed44
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in California
Rank by total paid#208 of 1,230
Median peer was paid$51K
This provider vs. median16×
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 | 4,833 | $81K | |
| 2019 | 4,813 | $78K | |
| 2020 | 4,994 | $105K | |
| 2021 | 5,577 | $112K | |
| 2022 | 7,478 | $153K | |
| 2023 | 9,502 | $189K | |
| 2024incomplete | 6,233 | $122K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92551 | 13% | 5,192 | 5,177 | $108K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,293 | 1,289 | $106K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 909 | 909 | $95K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 11% | 2,141 | 2,061 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 1,028 | 1,001 | $72K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 8.3% | 1,016 | 989 | $70K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.4% | 11,600 | 10,704 | $54K |
| 90686 | 4.7% | 2,307 | 2,295 | $40K | |
| G9920 | Screening performed and negative | 4.7% | 1,394 | 1,378 | $39K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 526 | 498 | $35K |
| 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 | 3.6% | 4,920 | 4,618 | $30K |
| 99173 | 3.2% | 4,329 | 4,315 | $27K |
32 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.3% | 293 | $11K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 230 | $6K |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 569 | $6K |
| 87634 | <1% | 104 | $6K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 229 | $5K |
| 90670 | <1% | 286 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 475 | $4K |
| 0071A | <1% | 88 | $4K | |
| 0072A | <1% | 84 | $3K | |
| 85018 | <1% | 1,632 | $3K | |
| 90698 | <1% | 198 | $3K | |
| 0002A | <1% | 70 | $3K | |
| 90651 | <1% | 128 | $2K | |
| 90680 | <1% | 113 | $2K | |
| 90656 | <1% | 97 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 76 | $1K |
| 0001A | <1% | 36 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,115 | $1K |
| 96127 | <1% | 171 | $1K | |
| 81003 | <1% | 513 | $897.57 | |
| 90480 | <1% | 13 | $520.00 | |
| 0004A | <1% | 13 | $520.00 | |
| 90744 | <1% | 35 | $504.00 | |
| 99188 | <1% | 12 | $324.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $305.45 |
| 90621 | <1% | 15 | $252.00 | |
| 83655 | <1% | 24 | $223.23 | |
| 90619 | <1% | 12 | $216.00 | |
| 90685 | <1% | 12 | $216.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $181.67 |
| G2010 | Remote evaluation of recorded video and/or images submitted by an established patient (e.g., store and forward), including interpretation with follow-up with the patient within 24 business hours, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | 0% | 25 | $0.00 |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 47 | $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 officialKOEHNE, WILLIAM (PRESIDENT)