Physician
Baca Pediatrics
Baca Pediatrics was paid $662K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99212, Office or other outpatient visit for the evaluation and management of an established patient, straightforward — 42% of everything it billed.
33Billing provider infoBACA PEDIATRICS
EPHRATA, PA 17522
EPHRATA, PA 17522
33aNPI1073576831assigned 04/11/2006
33bProvider typePediatrics Physician
28Total paid$662K
24GClaims26,340
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#147 of 1,257
Median peer was paid$45K
This provider vs. median15×
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 | 373 | $9K | |
| 2019 | 131 | $4K | |
| 2020 | 1,328 | $28K | |
| 2021 | 6,936 | $163K | |
| 2022 | 6,289 | $155K | |
| 2023 | 6,458 | $171K | |
| 2024incomplete | 4,825 | $132K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 42% | 10,197 | 7,881 | $275K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 1,299 | 1,242 | $109K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 1,158 | 1,117 | $104K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 1,018 | 982 | $90K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 546 | 529 | $48K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.7% | 4,269 | 4,154 | $18K |
| 92551 | <1% | 1,871 | 1,799 | $5K | |
| 99173 | <1% | 1,802 | 1,732 | $3K | |
| 90686 | <1% | 271 | 259 | $2K | |
| 90648 | <1% | 227 | 212 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,811 | 1,757 | $2K |
| 90670 | <1% | 201 | 189 | $1K |
10 more codes
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 officialLANCELLOTTI, GIUSEPPE (BUSINESS OWNER)