Supnet, Medardo

Supnet, Medardo was paid $8K by Medicaid between Oct 2018 and Nov 2021, across 12 billing codes. Its largest line is 90471, Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine — 27% of everything it billed.

33Billing provider infoSUPNET, MEDARDO
LYNWOOD, CA 90262

33aNPI1992817860assigned 08/31/2006

33bProvider typePediatrics Physician

28Total paid$8K

24GClaims998

24DCodes billed12

24AFirst – last monthOct 2018 – Nov 2021

Compared with peers

Next to other Pediatrics Physician providers in California

Rank by total paid#829 of 1,490

Median peer was paid$15K

This provider vs. median0.5×

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	108	$1K
2019	397	$2K
2020	410	$4K
2021	83	$733.55

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	27%	264	263	$2K
92552		26%	201	201	$2K
G9920	Screening performed and negative	20%	69	69	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	6.8%	12	12	$537.60
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.7%	14	14	$529.48
99173		4.9%	153	153	$388.36
81003		3.0%	111	110	$239.94
90472	Immunization administration, each additional vaccine (list separately)	2.5%	26	15	$202.00
83026		1.9%	57	57	$148.50
81000		1.0%	33	33	$82.56
90656		0%	43	43	$0.00
81002		0%	15	15	$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.