Physician
Hope Pediatrics PC
Hope Pediatrics PC was paid $37K by Medicaid between Oct 2019 and Dec 2022, across 13 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 83% of everything it billed.
33Billing provider infoHOPE PEDIATRICS PC
SENECA, PA 16346
SENECA, PA 16346
33aNPI1114294006assigned 11/21/2011
33bProvider typePediatrics Physician
28Total paid$37K
24GClaims1,481
24DCodes billed13
24AFirst – last monthOct 2019 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#665 of 1,257
Median peer was paid$45K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2019 | 15 | $301.70 | |
| 2020 | 33 | $668.62 | |
| 2021 | 834 | $20K | |
| 2022 | 599 | $16K |
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 | 83% | 960 | 885 | $31K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 26 | 26 | $2K |
| 90686 | 2.3% | 102 | 100 | $839.82 | |
| 92552 | 2.0% | 110 | 108 | $736.60 | |
| 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 | 1.6% | 12 | 12 | $587.72 |
| 90670 | 1.2% | 81 | 80 | $459.00 | |
| 90723 | 1.1% | 59 | 59 | $396.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 48 | 27 | $319.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | 24 | $169.18 |
| 90710 | <1% | 15 | 15 | $129.00 | |
| 90647 | <1% | 15 | 15 | $121.00 | |
| 99173 | <1% | 13 | 12 | $59.40 |
1 more codes
| 96127 | <1% | 12 | $44.00 |
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 officialHAMM, GLENN (PRESIDENT)