Physician
Pediatric Group LLC
Pediatric Group LLC was paid $13.76M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoPEDIATRIC GROUP LLC
MARION, IL 62959
MARION, IL 62959
33aNPI1114129970assigned 06/04/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$13.76M
24GClaims504,915
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Illinois
Rank by total paid#1 of 44
Median peer was paid$65K
This provider vs. median213×
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 | 62,124 | $1.56M | |
| 2019 | 104,493 | $1.96M | |
| 2020 | 69,271 | $1.90M | |
| 2021 | 70,387 | $2.03M | |
| 2022 | 62,249 | $1.95M | |
| 2023 | 64,348 | $2.07M | |
| 2024incomplete | 72,043 | $2.29M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 163,621 | 119,937 | $13.63M |
| 90670 | <1% | 10,841 | 8,897 | $19K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 64,988 | 50,799 | $17K |
| 90710 | <1% | 5,084 | 4,329 | $14K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 230 | 193 | $7K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 16,565 | 14,048 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 17,857 | 14,093 | $6K |
| 90723 | <1% | 7,622 | 6,121 | $5K | |
| 90680 | <1% | 6,842 | 5,559 | $5K | |
| 54150 | <1% | 75 | 62 | $5K | |
| 99460 | <1% | 134 | 121 | $5K | |
| 90651 | <1% | 1,942 | 1,634 | $4K |
75 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 41,703 | $4K |
| 90734 | <1% | 2,161 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,443 | $3K |
| 90686 | <1% | 4,311 | $3K | |
| 90633 | <1% | 6,657 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 23,691 | $3K |
| 90696 | <1% | 2,539 | $2K | |
| 90648 | <1% | 8,553 | $2K | |
| 90716 | <1% | 633 | $2K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,348 | $2K |
| 90707 | <1% | 628 | $1K | |
| 99381 | <1% | 681 | $859.25 | |
| 90700 | <1% | 1,220 | $858.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,519 | $822.34 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 3,891 | $793.73 |
| 83655 | <1% | 5,854 | $735.32 | |
| 90715 | <1% | 1,519 | $720.04 | |
| 90698 | <1% | 1,899 | $681.08 | |
| D1206 | Topical application of fluoride varnish | <1% | 3,763 | $676.00 |
| 0001A | <1% | 16 | $674.24 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 6,135 | $484.90 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,486 | $469.22 |
| 90473 | <1% | 1,331 | $448.29 | |
| 96127 | <1% | 21,965 | $436.17 | |
| S5190 | Wellness assessment, performed by non-physician | <1% | 3,563 | $316.51 |
| 36416 | <1% | 8,083 | $233.70 | |
| 85018 | <1% | 7,991 | $171.68 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,733 | $109.55 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 53 | $90.16 |
| 81002 | <1% | 3,134 | $52.00 | |
| 90681 | <1% | 1,272 | $39.82 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 196 | $39.24 |
| 90656 | <1% | 319 | $33.42 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 116 | $24.25 |
| 94760 | <1% | 1,209 | $17.60 | |
| 90677 | <1% | 1,578 | $16.71 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 386 | $12.30 |
| 90621 | <1% | 77 | $6.40 | |
| 96160 | 0% | 2,440 | $0.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 222 | $0.00 |
| 3725F | 0% | 123 | $0.00 | |
| 99334 | 0% | 744 | $0.00 | |
| 99072 | 0% | 1,693 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 328 | $0.00 |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 83 | $0.00 |
| 99173 | 0% | 276 | $0.00 | |
| 99188 | 0% | 87 | $0.00 | |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 70 | $0.00 |
| 99325 | 0% | 14 | $0.00 | |
| 90461 | 0% | 206 | $0.00 | |
| 81003 | 0% | 17 | $0.00 | |
| 3078F | 0% | 1,077 | $0.00 | |
| 94664 | 0% | 26 | $0.00 | |
| 99382 | 0% | 15 | $0.00 | |
| 90380 | 0% | 44 | $0.00 | |
| 99335 | 0% | 1,481 | $0.00 | |
| 90697 | 0% | 1,770 | $0.00 | |
| 87807 | 0% | 1,828 | $0.00 | |
| 99349 | 0% | 1,241 | $0.00 | |
| 96380 | 0% | 17 | $0.00 | |
| 87428 | 0% | 3,127 | $0.00 | |
| 3008F | 0% | 642 | $0.00 | |
| 99383 | 0% | 78 | $0.00 | |
| 86308 | 0% | 12 | $0.00 | |
| 99000 | 0% | 332 | $0.00 | |
| 90381 | 0% | 56 | $0.00 | |
| 1036F | 0% | 990 | $0.00 | |
| 88720 | 0% | 14 | $0.00 | |
| 3079F | 0% | 53 | $0.00 | |
| 90620 | 0% | 71 | $0.00 | |
| 3074F | 0% | 1,108 | $0.00 | |
| 99344 | 0% | 13 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 118 | $0.00 |
| 99324 | 0% | 26 | $0.00 | |
| 3075F | 0% | 16 | $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 officialFISHER, RHONDA (OFFICE MANAGER)