Physician
Pediatric Healthcare Associates
Pediatric Healthcare Associates was paid $1.13M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPEDIATRIC HEALTHCARE ASSOCIATES
ALTOONA, PA 16602
ALTOONA, PA 16602
33aNPI1114021334assigned 09/08/2006
33bProvider typePediatrics Physician
28Total paid$1.13M
24GClaims43,234
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#92 of 1,257
Median peer was paid$45K
This provider vs. median25×
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 | 521 | $19K | |
| 2019 | 439 | $11K | |
| 2020 | 1,725 | $37K | |
| 2021 | 8,834 | $254K | |
| 2022 | 9,933 | $267K | |
| 2023 | 10,883 | $265K | |
| 2024incomplete | 10,899 | $275K |
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 | 39% | 12,244 | 11,194 | $445K |
| 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 | 23% | 4,686 | 4,475 | $260K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.8% | 1,302 | 1,271 | $111K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 967 | 933 | $80K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 887 | 874 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 902 | 881 | $72K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 678 | 674 | $24K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 581 | 575 | $13K |
| 92551 | 1.0% | 4,223 | 4,149 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,315 | 1,269 | $9K |
| 99173 | <1% | 4,121 | 4,046 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 546 | 278 | $6K |
36 more codes
| 96127 | <1% | 2,121 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,064 | $3K |
| 90686 | <1% | 582 | $2K | |
| 99174 | <1% | 907 | $1K | |
| 90670 | <1% | 252 | $880.00 | |
| 90671 | <1% | 457 | $854.76 | |
| 90698 | <1% | 210 | $811.00 | |
| 87428 | <1% | 26 | $749.94 | |
| 90680 | <1% | 313 | $370.00 | |
| 90697 | <1% | 301 | $320.00 | |
| 99188 | <1% | 28 | $270.00 | |
| 90734 | <1% | 28 | $260.00 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $224.40 |
| 99051 | <1% | 13 | $217.50 | |
| 99462 | <1% | 13 | $211.92 | |
| 90619 | <1% | 179 | $210.00 | |
| 96161 | <1% | 225 | $202.18 | |
| 80061 | Lipid panel | <1% | 258 | $176.67 |
| 90716 | <1% | 29 | $150.00 | |
| 90707 | <1% | 43 | $150.00 | |
| 90621 | <1% | 12 | $110.00 | |
| 90651 | <1% | 65 | $70.00 | |
| 83655 | <1% | 459 | $69.69 | |
| 86701 | <1% | 60 | $44.56 | |
| 90744 | <1% | 26 | $30.00 | |
| 90696 | <1% | 38 | $30.00 | |
| 85018 | <1% | 40 | $22.77 | |
| 96160 | <1% | 1,396 | $20.88 | |
| 90633 | <1% | 56 | $20.00 | |
| 90710 | <1% | 26 | $20.00 | |
| 94760 | <1% | 92 | $8.22 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 88 | $6.46 |
| 3008F | 0% | 1,285 | $0.00 | |
| 91300 | 0% | 18 | $0.00 | |
| 90715 | 0% | 47 | $0.00 | |
| G0270 | Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes | 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 officialASWATHAPPA, SATHYA (PHYSICIAN)