PAVILION PEDIATRIC CENTER, LLC
NPI: 1063887438
· MUNCIE, IN 47304
· 363LP0200X
$1.23M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,900 |
$145K |
| 2019 |
5,329 |
$181K |
| 2020 |
4,870 |
$188K |
| 2021 |
4,074 |
$187K |
| 2022 |
5,248 |
$213K |
| 2023 |
4,052 |
$231K |
| 2024 |
1,325 |
$84K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
9,757 |
8,152 |
$492K |
| 99214 |
|
3,505 |
3,022 |
$263K |
| 99392 |
|
1,676 |
1,543 |
$132K |
| 99391 |
|
1,564 |
1,307 |
$119K |
| 90472 |
|
2,872 |
2,555 |
$69K |
| 90471 |
|
5,188 |
4,601 |
$58K |
| 99393 |
|
749 |
683 |
$57K |
| 99394 |
|
306 |
293 |
$24K |
| 87880 |
|
240 |
219 |
$3K |
| 95004 |
|
15 |
13 |
$3K |
| 99212 |
|
74 |
70 |
$3K |
| 87428 |
|
36 |
29 |
$1K |
| 87804 |
|
90 |
42 |
$1K |
| 92551 |
|
179 |
173 |
$701.93 |
| 90651 |
|
34 |
33 |
$531.06 |
| 90670 |
|
728 |
636 |
$348.82 |
| 90734 |
|
32 |
26 |
$307.50 |
| 83655 |
|
26 |
26 |
$297.89 |
| 90686 |
|
1,532 |
1,352 |
$261.61 |
| 85018 |
|
56 |
52 |
$113.70 |
| 99173 |
|
78 |
78 |
$93.21 |
| 90648 |
|
656 |
578 |
$33.74 |
| 90723 |
|
235 |
198 |
$0.21 |
| 90680 |
|
139 |
112 |
$0.09 |
| 90633 |
|
31 |
27 |
$0.00 |