Pediatric Associates Prof LLC

Pediatric Associates Prof LLC was paid $26K by Medicaid between Jul 2018 and Aug 2022, across 5 billing codes. Its largest line is 99394, Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) — 83% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES PROF LLC
MONTROSE, CO 81401

33aNPI1033614334assigned 03/28/2018

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$26K

24GClaims612

24DCodes billed5

24AFirst – last monthJul 2018 – Aug 2022

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Colorado

Rank by total paid#2 of 5

Median peer was paid$8K

This provider vs. median3.4×

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	162	$5K
2019	252	$10K
2020	73	$3K
2021	81	$5K
2022	44	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	83%	211	209	$21K
92551		7.5%	188	185	$2K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	5.6%	134	134	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	2.0%	28	27	$503.68
99173		1.9%	51	50	$486.67

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 officialHICKERT, AMBER (PRACTICE ADMINISTRATOR)

Parent organizationPEDIATRIC ASSOCIATES PROF LLC

Same official

Other billing entities under HICKERT, AMBER

Full network →

Provider	Location	Paid
Pediatric Associates Prof LLC	Delta, CO	$1.26M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.