Physician
Germantown Pediatrics, P.C.
Germantown Pediatrics, P.C. was paid $2.94M by Medicaid between Oct 2018 and Dec 2024, across 84 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoGERMANTOWN PEDIATRICS, P.C.
PHILADELPHIA, PA 19144
PHILADELPHIA, PA 19144
33aNPI1083669055assigned 05/24/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$2.94M
24GClaims94,361
24DCodes billed84
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#1 of 44
Median peer was paid$39K
This provider vs. median75×
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 | 39 | $375.59 | |
| 2019 | 983 | $0.00 | |
| 2020 | 5,996 | $136K | |
| 2021 | 21,897 | $627K | |
| 2022 | 25,068 | $744K | |
| 2023 | 19,198 | $741K | |
| 2024incomplete | 21,180 | $688K |
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 | 30% | 16,215 | 14,496 | $888K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 3,257 | 3,176 | $350K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,766 | 2,705 | $316K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.4% | 2,494 | 2,400 | $276K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 1,806 | 1,727 | $188K |
| 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 | 6.2% | 2,375 | 2,238 | $183K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.3% | 656 | 627 | $69K |
| 99499 | 2.2% | 2,767 | 2,584 | $66K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.8% | 1,549 | 1,471 | $54K |
| 99188 | 1.8% | 2,504 | 2,425 | $53K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.4% | 1,285 | 1,216 | $42K |
| 92551 | 1.2% | 4,042 | 3,761 | $35K |
72 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 440 | $34K |
| 94664 | 1.1% | 1,765 | $33K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,847 | $26K |
| 99080 | <1% | 1,371 | $20K | |
| 99381 | <1% | 228 | $19K | |
| 99495 | <1% | 122 | $18K | |
| 92552 | <1% | 717 | $18K | |
| 90686 | <1% | 3,427 | $14K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,338 | $14K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,283 | $14K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,693 | $13K |
| 90697 | <1% | 1,118 | $11K | |
| 96127 | <1% | 2,864 | $11K | |
| 86318 | <1% | 620 | $11K | |
| 86769 | <1% | 698 | $10K | |
| 90651 | <1% | 1,067 | $8K | |
| 90670 | <1% | 1,255 | $8K | |
| 90461 | <1% | 877 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 345 | $6K |
| 97802 | <1% | 415 | $6K | |
| G0008 | Administration of influenza virus vaccine | <1% | 596 | $6K |
| 90734 | <1% | 1,073 | $6K | |
| 99383 | <1% | 52 | $6K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 56 | $6K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 503 | $6K |
| 90633 | <1% | 759 | $5K | |
| 90620 | <1% | 870 | $5K | |
| 90681 | <1% | 766 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 52 | $5K |
| 90707 | <1% | 431 | $4K | |
| 99174 | <1% | 576 | $4K | |
| 99173 | <1% | 4,394 | $4K | |
| 96160 | <1% | 2,110 | $4K | |
| 90716 | <1% | 373 | $4K | |
| 90710 | <1% | 260 | $4K | |
| 99050 | <1% | 205 | $3K | |
| 90656 | <1% | 313 | $3K | |
| 99384 | <1% | 28 | $3K | |
| 90677 | <1% | 348 | $3K | |
| 99177 | <1% | 418 | $3K | |
| 99496 | <1% | 15 | $3K | |
| 99441 | <1% | 683 | $3K | |
| 90696 | <1% | 391 | $2K | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 133 | $2K |
| G0009 | Administration of pneumococcal vaccine | <1% | 230 | $2K |
| 90744 | <1% | 157 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 29 | $2K |
| 90715 | <1% | 438 | $2K | |
| 96161 | <1% | 818 | $2K | |
| 90672 | <1% | 272 | $1K | |
| 0071A | <1% | 31 | $1K | |
| 90685 | <1% | 92 | $921.70 | |
| 87807 | <1% | 122 | $892.17 | |
| 3008F | <1% | 1,816 | $660.00 | |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 26 | $510.00 |
| 90660 | <1% | 69 | $369.70 | |
| 90700 | <1% | 29 | $308.52 | |
| 0001A | <1% | 15 | $250.00 | |
| 90480 | <1% | 15 | $150.00 | |
| 90381 | <1% | 25 | $120.00 | |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 3,221 | $104.40 |
| 83655 | <1% | 869 | $66.00 | |
| 81003 | <1% | 13 | $13.04 | |
| G9920 | Screening performed and negative | <1% | 212 | $10.80 |
| 80061 | Lipid panel | <1% | 187 | $10.00 |
| 85013 | <1% | 495 | $3.60 | |
| 85018 | <1% | 495 | $3.55 | |
| 81000 | 0% | 63 | $0.00 | |
| 90698 | 0% | 1,386 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 13 | $0.00 |
| 99051 | 0% | 600 | $0.00 | |
| 92015 | Determination of refractive state | 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 officialMIGNANO, PASQUALE (PHYSICIAN)