Medical billing built for pediatric practices
Pediatric billing lives on high volumes of well-child visits, immunizations, and Medi-Cal managed care, where small coding and administration errors multiply quickly. Quantix Health builds vaccine, EPSDT, and sick-visit workflows so every covered service is captured and reconciled against each plan's rules.
- Immunization administration coded separately from vaccine product, with VFC vs. purchased-stock tracking
- Well-child and EPSDT visits mapped to age-appropriate CPT and screening codes
- Sick visit plus well-child same-day encounters split with modifier 25 support
Specialty expertise, not generic billing
Vaccine and VFC accuracy
We separate administration from product, track VFC versus privately purchased stock, and code counseling so immunization revenue is complete and compliant.
Well-child and EPSDT
Preventive visits are coded by age with required developmental, vision, and behavioral screenings so Medi-Cal EPSDT components are billed, not lost.
Same-day sick visits
When a problem visit occurs alongside a well-child exam, we document and modifier the encounter so both are appropriately reimbursed.
Medi-Cal managed care
We manage plan-specific eligibility, PCP assignment, and encounter reporting across Southern California Medi-Cal managed care plans.
Where pediatric practices lose revenue
These are the specialty-specific leaks we watch for — and fix at the root.
- Immunization administration codes (90460/90461) undercounted for multi-component vaccines and counseling
- VFC versus privately purchased vaccine stock billed incorrectly, causing recoupments
- Well-child plus sick visit denials when modifier 25 documentation is insufficient
- EPSDT screening components (developmental, vision, hearing, behavioral) not captured for Medi-Cal reimbursement
- Newborn and inpatient-to-outpatient transition coding and eligibility mismatches
- Medi-Cal managed care PCP assignment and eligibility errors driving front-end rejections
Full support for pediatric practices
One accountable partner for billing and the business side of your practice.
Revenue Cycle Management
End-to-end RCM — eligibility, coding, claims, denials, A/R, posting, and reporting, all under one roof.
Learn moreCredentialing & Enrollment
Payer enrollment and credentialing so your providers can bill without delay.
Learn moreMedical Support Staffing
Vetted, remote billers, coders, and back-office staff — dedicated to your practice, when and where you need them.
Learn morePractice Management Consulting
Operational, financial, and compliance consulting to run a healthier, more profitable practice.
Learn moreCommon questions
How do you handle VFC vaccine billing?
We track VFC-eligible versus privately purchased stock, bill the administration codes separately from the product, and code counseling components so immunization services are captured accurately and stay compliant with program rules.
Can you bill a sick visit and a well-child exam on the same day?
When documentation supports a distinct problem-oriented service, we code both and apply modifier 25 appropriately, which reduces the same-day denials pediatric practices see most often.
Do you work with Medi-Cal managed care plans?
Yes. We manage eligibility, PCP assignment, EPSDT components, and encounter reporting across Southern California Medi-Cal managed care plans such as IEHP and Molina.
Billing guides for pediatric practices
Let's strengthen your pediatrics revenue
Book a free, no-obligation consultation. We'll review your billing and show you the opportunity — no pressure.