Physician
Pediatrics & Neonatology Medical Group of Orange County INC
Pediatrics & Neonatology Medical Group of Orange County INC was paid $9.26M by Medicaid between Jan 2018 and Dec 2024, across 82 billing codes. Its largest line is 99469, Subsequent inpatient neonatal critical care, per day, 28 days or younger — 26% of everything it billed.
33Billing provider infoPEDIATRICS & NEONATOLOGY MEDICAL GROUP OF ORANGE COUNTY INC
GARDEN GROVE, CA 92843
GARDEN GROVE, CA 92843
33aNPI1982871729assigned 05/12/2008
33bProvider typePediatrics Physician
28Total paid$9.26M
24GClaims244,353
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#22 of 1,490
Median peer was paid$15K
This provider vs. median618×
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 | 30,217 | $1.42M | |
| 2019 | 35,079 | $1.66M | |
| 2020 | 33,889 | $1.53M | |
| 2021 | 35,920 | $1.48M | |
| 2022 | 38,502 | $1.38M | |
| 2023 | 38,939 | $1.25M | |
| 2024incomplete | 31,807 | $547K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 26% | 14,855 | 5,023 | $2.42M |
| 96156 | 14% | 19,666 | 19,324 | $1.31M | |
| Z0102 | 11% | 5,481 | 1,311 | $1.05M | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.1% | 7,665 | 7,470 | $562K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 13,546 | 12,552 | $332K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 5,266 | 5,160 | $314K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 6,862 | 6,765 | $313K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 6,178 | 6,145 | $293K |
| G9920 | Screening performed and negative | 2.9% | 12,397 | 12,335 | $271K |
| 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 | 2.6% | 11,357 | 10,760 | $244K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 2,084 | 1,972 | $202K |
| 99381 | 2.1% | 1,696 | 1,679 | $192K |
70 more codes
| 92551 | 1.7% | 15,009 | $157K | |
| 92586 | 1.6% | 2,598 | $149K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 3,093 | $123K |
| Z0104 | 1.1% | 758 | $101K | |
| 99460 | 1.0% | 2,079 | $96K | |
| 99464 | <1% | 1,480 | $92K | |
| 99223 | Prolong inpt eval add15 m | <1% | 1,302 | $77K |
| 92652 | <1% | 820 | $74K | |
| 97803 | <1% | 6,763 | $71K | |
| 90700 | <1% | 6,473 | $54K | |
| 90647 | <1% | 6,063 | $52K | |
| 99462 | <1% | 2,003 | $51K | |
| 90713 | <1% | 5,164 | $44K | |
| 90670 | <1% | 4,912 | $44K | |
| 90680 | <1% | 4,784 | $42K | |
| 96151 | <1% | 1,791 | $40K | |
| Z4306 | <1% | 656 | $33K | |
| 81000 | <1% | 13,594 | $31K | |
| 85018 | <1% | 17,286 | $31K | |
| 90658 | <1% | 3,147 | $28K | |
| 83655 | <1% | 2,409 | $27K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 772 | $26K |
| 99468 | <1% | 79 | $25K | |
| Z0100 | <1% | 69 | $25K | |
| 90633 | <1% | 2,660 | $21K | |
| 90744 | <1% | 2,295 | $20K | |
| 90716 | <1% | 2,309 | $19K | |
| 90707 | <1% | 2,275 | $19K | |
| 90649 | <1% | 1,995 | $18K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,519 | $18K |
| 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 | <1% | 1,662 | $15K |
| 99173 | <1% | 5,269 | $14K | |
| 90734 | <1% | 1,487 | $14K | |
| 90620 | <1% | 1,211 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,396 | $11K |
| 90655 | <1% | 1,130 | $10K | |
| 90723 | <1% | 1,013 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 53 | $8K |
| 90715 | <1% | 939 | $8K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 165 | $7K |
| 99461 | <1% | 71 | $6K | |
| 90697 | <1% | 349 | $5K | |
| 90671 | <1% | 662 | $5K | |
| 99343 | <1% | 71 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 808 | $4K |
| 97802 | <1% | 133 | $3K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 781 | $3K |
| 90619 | <1% | 243 | $3K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 99 | $2K |
| 99383 | <1% | 31 | $2K | |
| 90686 | <1% | 901 | $2K | |
| 99465 | <1% | 15 | $1K | |
| 96150 | <1% | 164 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 28 | $1K |
| 90657 | <1% | 194 | $1K | |
| 99188 | <1% | 513 | $1K | |
| 81002 | <1% | 661 | $1K | |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 51 | $936.86 |
| 85999 | <1% | 221 | $665.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | $468.25 |
| 90677 | <1% | 95 | $414.00 | |
| 90651 | <1% | 40 | $252.00 | |
| 92552 | <1% | 12 | $198.24 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $195.19 |
| 90710 | <1% | 24 | $171.00 | |
| 90656 | <1% | 18 | $81.00 | |
| 90696 | <1% | 13 | $63.00 | |
| 96161 | 0% | 120 | $0.00 | |
| 92499 | 0% | 190 | $0.00 | |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 272 | $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 officialSWEIDAN, JACOB (PRESIDENT/CEO/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Strongkids Medical Group INC | Santa Ana, CA | $4.98M |
| Sweidan, Sohl & Emamian Medical Group, INC. | Long Beach, CA | $995K |
| Strongkids Medical Group INC | Anaheim, CA | $452K |
| Orange County Physicians Ipa Medical Group, INC. | Cypress, CA | $316K |
| Mesa Pulmonary Group, INC. | Costa Mesa, CA | $57K |
| Strongkids Medical Group, INC. | Santa Ana, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.