Physician
Pocono Adult & Pediatric Medical Group LLC
Pocono Adult & Pediatric Medical Group LLC was paid $552K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 42% of everything it billed.
33Billing provider infoPOCONO ADULT & PEDIATRIC MEDICAL GROUP LLC
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1144251745assigned 07/05/2006
33bProvider typePediatrics Physician
28Total paid$552K
24GClaims16,294
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#174 of 1,257
Median peer was paid$45K
This provider vs. median12×
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 | 259 | $369.13 | |
| 2019 | 174 | $671.45 | |
| 2020 | 677 | $23K | |
| 2021 | 4,103 | $149K | |
| 2022 | 3,921 | $135K | |
| 2023 | 3,940 | $130K | |
| 2024incomplete | 3,220 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 42% | 4,198 | 3,897 | $230K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 5,017 | 4,147 | $183K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 409 | 406 | $37K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.2% | 321 | 311 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.7% | 213 | 209 | $21K |
| 92551 | 2.3% | 1,477 | 1,450 | $13K | |
| 99173 | 1.8% | 1,542 | 1,509 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 77 | 75 | $7K |
| 90686 | <1% | 508 | 497 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 44 | 43 | $3K |
| 96161 | <1% | 512 | 503 | $2K | |
| 96127 | <1% | 431 | 420 | $2K |
21 more codes
| 99307 | <1% | 559 | $2K | |
| 0124A | <1% | 57 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 78 | $2K |
| 0071A | <1% | 30 | $1K | |
| 0072A | <1% | 27 | $1K | |
| 90651 | <1% | 118 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 122 | $749.70 |
| 96160 | <1% | 165 | $642.66 | |
| 90620 | <1% | 59 | $626.18 | |
| 90619 | <1% | 38 | $600.00 | |
| 3074F | <1% | 42 | $513.75 | |
| 99188 | <1% | 12 | $245.70 | |
| 3079F | <1% | 14 | $230.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $195.76 |
| 90633 | <1% | 17 | $183.50 | |
| 90670 | <1% | 12 | $128.00 | |
| 90734 | <1% | 34 | $103.50 | |
| 85018 | 0% | 89 | $0.00 | |
| 85013 | 0% | 18 | $0.00 | |
| 3288F | 0% | 20 | $0.00 | |
| 0518F | 0% | 20 | $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 officialUFONDU, SOLIBE (OWNER)