Physician
Pediatrics of Nepa, PC
Pediatrics of Nepa, PC was paid $2.61M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 0202U, Oncology (prostate), multianalyte, gene expression profiling — 30% of everything it billed.
33Billing provider infoPEDIATRICS OF NEPA, PC
DICKSON CITY, PA 18519
DICKSON CITY, PA 18519
33aNPI1023199098assigned 10/18/2006
33bProvider typePediatrics Physician
28Total paid$2.61M
24GClaims51,742
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#29 of 1,257
Median peer was paid$45K
This provider vs. median57×
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 | 628 | $9K | |
| 2019 | 360 | $15K | |
| 2020 | 1,833 | $58K | |
| 2021 | 12,332 | $766K | |
| 2022 | 14,169 | $839K | |
| 2023 | 12,585 | $505K | |
| 2024incomplete | 9,835 | $415K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0202U | Oncology (prostate), multianalyte, gene expression profiling | 30% | 3,436 | 3,392 | $792K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 14,361 | 13,554 | $491K |
| 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 | 15% | 7,695 | 7,266 | $398K |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | 8.8% | 2,124 | 1,998 | $231K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.0% | 2,258 | 2,213 | $209K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 2,216 | 2,149 | $187K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 1,421 | 1,409 | $117K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 1,341 | 1,307 | $108K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 440 | 436 | $16K |
| 96127 | <1% | 1,648 | 1,619 | $6K | |
| 87430 | <1% | 742 | 723 | $5K | |
| 90688 | <1% | 2,151 | 2,065 | $5K |
37 more codes
| 0002A | <1% | 104 | $4K | |
| 90670 | <1% | 1,254 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 170 | $4K |
| 90698 | <1% | 1,776 | $4K | |
| 0001A | <1% | 95 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 292 | $3K |
| 90680 | <1% | 1,181 | $3K | |
| 0071A | <1% | 60 | $2K | |
| 87070 | <1% | 246 | $2K | |
| 90744 | <1% | 816 | $2K | |
| 90633 | <1% | 1,020 | $2K | |
| 90687 | <1% | 992 | $1K | |
| 90734 | <1% | 344 | $1K | |
| 0072A | <1% | 30 | $1K | |
| 90651 | <1% | 748 | $1K | |
| 90671 | <1% | 70 | $916.60 | |
| 90619 | <1% | 13 | $733.31 | |
| 90715 | <1% | 344 | $386.81 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $286.00 |
| 99051 | <1% | 58 | $233.84 | |
| 90696 | <1% | 82 | $150.00 | |
| 90707 | <1% | 185 | $140.00 | |
| 83718 | <1% | 12 | $84.00 | |
| 82465 | <1% | 12 | $72.00 | |
| 90716 | <1% | 172 | $50.00 | |
| 99000 | <1% | 40 | $40.00 | |
| 92551 | <1% | 39 | $16.00 | |
| 99173 | <1% | 88 | $12.00 | |
| 90657 | 0% | 156 | $0.00 | |
| 91307 | 0% | 355 | $0.00 | |
| 94760 | 0% | 70 | $0.00 | |
| 90710 | 0% | 153 | $0.00 | |
| 91300 | 0% | 516 | $0.00 | |
| 90658 | 0% | 307 | $0.00 | |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | 0% | 51 | $0.00 |
| 91308 | 0% | 12 | $0.00 | |
| 91312 | 0% | 34 | $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 officialMARX, JOHN (PARTNER)