Physician
Pediatric Partners, PLLC
Pediatric Partners, PLLC was paid $718K by Medicaid between Jan 2018 and Dec 2021, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoPEDIATRIC PARTNERS, PLLC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1013096213assigned 11/06/2006
33bProvider typePediatrics Physician
28Total paid$718K
24GClaims18,263
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#21 of 57
Median peer was paid$409K
This provider vs. median1.8×
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 | 4,951 | $232K | |
| 2019 | 2,300 | $106K | |
| 2020 | 6,464 | $242K | |
| 2021 | 4,548 | $138K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 3,783 | 3,383 | $257K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 1,325 | 1,158 | $95K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,018 | 990 | $83K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 10% | 3,448 | 3,257 | $73K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.9% | 560 | 553 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 6.3% | 2,395 | 2,302 | $45K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.5% | 1,658 | 1,575 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 268 | 263 | $28K |
| 90686 | 1.6% | 848 | 804 | $11K | |
| 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 | <1% | 76 | 67 | $6K |
| 90670 | <1% | 628 | 593 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 194 | 96 | $4K |
16 more codes
| 90698 | <1% | 641 | $4K | |
| 90474 | <1% | 224 | $4K | |
| 83655 | <1% | 82 | $2K | |
| 92551 | <1% | 175 | $2K | |
| 85018 | <1% | 94 | $2K | |
| 99173 | <1% | 244 | $2K | |
| 90744 | <1% | 68 | $2K | |
| 90685 | <1% | 61 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | $1K |
| 90680 | <1% | 237 | $1K | |
| 90633 | <1% | 54 | $288.80 | |
| 90651 | 0% | 24 | $0.00 | |
| 90696 | 0% | 24 | $0.00 | |
| 90734 | 0% | 68 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90710 | 0% | 24 | $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 officialSTEELE, THOMAS (PARTNER)