NP / PA
Pavilion Pediatric Center, LLC
Pavilion Pediatric Center, LLC was paid $1.23M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPAVILION PEDIATRIC CENTER, LLC
MUNCIE, IN 47304
MUNCIE, IN 47304
33aNPI1063887438assigned 12/10/2015
33bProvider typePediatric Nurse Practitioner
28Total paid$1.23M
24GClaims29,798
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Indiana
Rank by total paid#1 of 5
Median peer was paid$9K
This provider vs. median135×
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 | 4,900 | $145K | |
| 2019 | 5,329 | $181K | |
| 2020 | 4,870 | $188K | |
| 2021 | 4,074 | $187K | |
| 2022 | 5,248 | $213K | |
| 2023 | 4,052 | $231K | |
| 2024incomplete | 1,325 | $84K |
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 | 40% | 9,757 | 8,152 | $492K |
| 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 | 21% | 3,505 | 3,022 | $263K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,676 | 1,543 | $132K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 1,564 | 1,307 | $119K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.6% | 2,872 | 2,555 | $69K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.7% | 5,188 | 4,601 | $58K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 749 | 683 | $57K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 306 | 293 | $24K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 240 | 219 | $3K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 15 | 13 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 74 | 70 | $3K |
| 87428 | <1% | 36 | 29 | $1K |
13 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 90 | $1K |
| 92551 | <1% | 179 | $701.93 | |
| 90651 | <1% | 34 | $531.06 | |
| 90670 | <1% | 728 | $348.82 | |
| 90734 | <1% | 32 | $307.50 | |
| 83655 | <1% | 26 | $297.89 | |
| 90686 | <1% | 1,532 | $261.61 | |
| 85018 | <1% | 56 | $113.70 | |
| 99173 | <1% | 78 | $93.21 | |
| 90648 | <1% | 656 | $33.74 | |
| 90723 | <1% | 235 | $0.21 | |
| 90680 | <1% | 139 | $0.09 | |
| 90633 | 0% | 31 | $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 officialRECTOR, NICOLE (OWNER)