Physician
Partners in Pediatrics P.C.
Partners in Pediatrics P.C. was paid $4.33M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoPARTNERS IN PEDIATRICS P.C.
HELENA, MT 59601
HELENA, MT 59601
33aNPI1033298542assigned 11/03/2006
33bProvider typePediatrics Physician
28Total paid$4.33M
24GClaims58,825
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Montana
Rank by total paid#2 of 16
Median peer was paid$371K
This provider vs. median12×
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 | 13,260 | $872K | |
| 2019 | 13,230 | $894K | |
| 2020 | 8,241 | $521K | |
| 2021 | 7,281 | $549K | |
| 2022 | 6,614 | $533K | |
| 2023 | 5,714 | $510K | |
| 2024incomplete | 4,485 | $448K |
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 | 35% | 17,402 | 15,864 | $1.50M |
| 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 | 25% | 8,160 | 7,270 | $1.07M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 11,007 | 10,363 | $561K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 3,595 | 3,428 | $428K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 3,277 | 2,950 | $360K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 1,330 | 1,264 | $160K |
| 90670 | 1.2% | 1,486 | 1,458 | $52K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 336 | 313 | $43K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,977 | 1,837 | $40K |
| 90686 | <1% | 3,918 | 3,588 | $21K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 78 | 67 | $16K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 133 | 133 | $13K |
27 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 603 | $10K |
| 90723 | <1% | 529 | $7K | |
| 90651 | <1% | 95 | $6K | |
| 90734 | <1% | 96 | $5K | |
| 90716 | <1% | 147 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 86 | $4K |
| 90647 | <1% | 592 | $3K | |
| 90681 | <1% | 80 | $3K | |
| 90707 | <1% | 132 | $3K | |
| 90633 | <1% | 229 | $2K | |
| 90685 | <1% | 452 | $2K | |
| 90480 | <1% | 116 | $2K | |
| 94060 | <1% | 29 | $2K | |
| 80061 | Lipid panel | <1% | 94 | $2K |
| 83655 | <1% | 107 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 12 | $1K |
| 90656 | <1% | 197 | $1K | |
| 90715 | <1% | 55 | $839.20 | |
| 90688 | <1% | 221 | $703.58 | |
| 91319 | <1% | 12 | $517.44 | |
| 90677 | <1% | 27 | $502.04 | |
| 96127 | <1% | 70 | $407.82 | |
| 90687 | <1% | 61 | $209.82 | |
| 36416 | <1% | 538 | $168.72 | |
| 81002 | <1% | 27 | $78.80 | |
| 99177 | 0% | 1,507 | $0.00 | |
| 94664 | 0% | 12 | $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 officialENGLAND, THOMAS (OWNER, BILLING COMPANY)