Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Eden Park Pediatric Associates, LLP

Eden Park Pediatric Associates, LLP was paid $262K by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.

33Billing provider infoEDEN PARK PEDIATRIC ASSOCIATES, LLP
LANCASTER, PA 17601
33aNPI1023077419assigned 03/22/2006
33bProvider typePediatrics Physician
28Total paid$262K
24GClaims5,045
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#302 of 1,257
Median peer was paid$45K
This provider vs. median5.8×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2018795$45K
20191,115$70K
2020667$34K
20211,609$69K
2022497$29K
2023287$14K
2024incomplete75$963.48
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47% 1,778 1,500 $124K
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 20% 519 451 $53K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 16% 364 326 $41K
90460 Immunization administration through 18 years of age via any route, first or only component 9.3% 779 663 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.1% 47 40 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.8% 119 107 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1.0% 156 150 $3K
90688 1.0% 149 131 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 14 14 $1K
92551 <1% 74 70 $947.13
99173 <1% 260 240 $871.86
90686 <1% 138 135 $670.30
7 more codes
99051 <1% 27 $334.83
99000 <1% 96 $242.25
96127 <1% 26 $112.24
36416 0% 17 $0.00
90656 0% 63 $0.00
99072 0% 402 $0.00
99080 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 officialVALUCH, JILL (PARTNER)