Physician
Pediatric & Adolescent Medical Assoc. of the Pacific Coast
Pediatric & Adolescent Medical Assoc. of the Pacific Coast was paid $764K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 20% of everything it billed.
33Billing provider infoPEDIATRIC & ADOLESCENT MEDICAL ASSOC. OF THE PACIFIC COAST
SALINAS, CA 93901
SALINAS, CA 93901
33aNPI1992899942assigned 10/03/2006
33bProvider typePediatrics Physician
28Total paid$764K
24GClaims61,309
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in California
Rank by total paid#163 of 1,490
Median peer was paid$15K
This provider vs. median51×
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 | 14,042 | $189K | |
| 2019 | 11,577 | $127K | |
| 2020 | 6,700 | $89K | |
| 2021 | 6,713 | $102K | |
| 2022 | 8,600 | $101K | |
| 2023 | 8,083 | $102K | |
| 2024incomplete | 5,594 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 20% | 1,809 | 1,807 | $156K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 17% | 1,177 | 1,177 | $126K |
| 92551 | 16% | 5,836 | 5,830 | $125K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 20,447 | 19,241 | $79K |
| 90686 | 8.2% | 3,574 | 3,542 | $63K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.7% | 721 | 713 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 428 | 393 | $30K |
| 99173 | 3.9% | 4,786 | 4,779 | $30K | |
| 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 | 2.3% | 3,052 | 2,901 | $17K |
| 85018 | 1.8% | 7,186 | 7,104 | $13K | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 1.3% | 419 | 419 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 304 | 304 | $10K |
16 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.2% | 749 | $9K |
| 82465 | 1.1% | 2,543 | $8K | |
| 81003 | 1.0% | 4,488 | $8K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,890 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 615 | $4K |
| 99460 | <1% | 61 | $4K | |
| 90651 | <1% | 121 | $2K | |
| 90670 | <1% | 132 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 124 | $2K |
| 90648 | <1% | 116 | $2K | |
| 90723 | <1% | 66 | $1K | |
| 90633 | <1% | 63 | $1K | |
| 81002 | <1% | 504 | $1K | |
| 90734 | <1% | 56 | $1K | |
| 96127 | <1% | 30 | $216.60 | |
| 90715 | <1% | 12 | $198.00 |
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 officialKELLOUGH, CONNIE (CAO)