Physician
Laurel Pediatric Associates INC
Laurel Pediatric Associates INC was paid $607K by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoLAUREL PEDIATRIC ASSOCIATES INC
JOHNSTOWN, PA 15904
JOHNSTOWN, PA 15904
33aNPI1003866716assigned 05/11/2006
33bProvider typePediatrics Physician
28Total paid$607K
24GClaims21,362
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#164 of 1,257
Median peer was paid$45K
This provider vs. median13×
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 | 442 | $15K | |
| 2019 | 366 | $17K | |
| 2020 | 1,125 | $34K | |
| 2021 | 7,166 | $194K | |
| 2022 | 5,381 | $155K | |
| 2023 | 3,279 | $89K | |
| 2024incomplete | 3,603 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 2,384 | 2,118 | $129K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 3,527 | 3,124 | $126K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 843 | 828 | $73K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 869 | 824 | $67K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.9% | 720 | 711 | $60K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 512 | 503 | $42K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 6.2% | 1,323 | 1,228 | $38K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 4.0% | 1,593 | 1,395 | $24K |
| 92551 | 1.5% | 1,916 | 1,877 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 2,045 | 1,725 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 255 | 224 | $5K |
| 99173 | <1% | 1,845 | 1,799 | $5K |
26 more codes
| 99188 | <1% | 279 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 82 | $4K |
| 99177 | <1% | 346 | $4K | |
| 96127 | <1% | 581 | $2K | |
| 92558 | <1% | 30 | $1K | |
| 0002A | <1% | 22 | $812.00 | |
| 0071A | <1% | 19 | $680.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 101 | $667.22 |
| 0072A | <1% | 16 | $652.00 | |
| 96160 | <1% | 396 | $641.75 | |
| 90686 | <1% | 293 | $476.18 | |
| 0001A | <1% | 20 | $469.00 | |
| 99401 | <1% | 163 | $436.00 | |
| 96161 | <1% | 238 | $399.39 | |
| 90698 | <1% | 27 | $180.00 | |
| 83655 | <1% | 94 | $179.45 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 274 | $6.25 |
| 99072 | 0% | 199 | $0.00 | |
| 91300 | 0% | 60 | $0.00 | |
| 90670 | 0% | 76 | $0.00 | |
| 90671 | 0% | 40 | $0.00 | |
| 90661 | 0% | 38 | $0.00 | |
| 90697 | 0% | 79 | $0.00 | |
| 36416 | 0% | 16 | $0.00 | |
| 91307 | 0% | 24 | $0.00 | |
| 90619 | 0% | 17 | $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 officialBARTO, JOHNNIE (CEO OWNER)