Physician
Abc Pediatrics, PLLC
Abc Pediatrics, PLLC was paid $2.87M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoABC PEDIATRICS, PLLC
CHARLESTON, WV 25302
CHARLESTON, WV 25302
33aNPI1154429041assigned 09/21/2006
33bProvider typePediatrics Physician
28Total paid$2.87M
24GClaims98,072
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#8 of 57
Median peer was paid$409K
This provider vs. median7.0×
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 | 13,803 | $467K | |
| 2019 | 6,328 | $202K | |
| 2020 | 15,397 | $365K | |
| 2021 | 13,937 | $394K | |
| 2022 | 19,713 | $573K | |
| 2023 | 17,599 | $510K | |
| 2024incomplete | 11,295 | $360K |
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 | 40% | 21,437 | 17,870 | $1.15M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 4,931 | 4,623 | $344K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10.0% | 4,029 | 3,833 | $286K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.9% | 4,641 | 4,085 | $285K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.0% | 11,994 | 11,227 | $171K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 4.3% | 6,244 | 5,863 | $124K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.2% | 10,455 | 9,602 | $121K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 1,424 | 1,346 | $109K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 1,843 | 1,601 | $63K |
| 87430 | <1% | 1,751 | 1,540 | $27K | |
| 90686 | <1% | 5,467 | 5,135 | $21K | |
| 90474 | <1% | 1,978 | 1,867 | $21K |
34 more codes
| 99173 | <1% | 4,134 | $21K | |
| 87428 | <1% | 540 | $16K | |
| 92551 | <1% | 1,081 | $15K | |
| 90670 | <1% | 2,776 | $12K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 878 | $11K |
| 90698 | <1% | 1,668 | $10K | |
| 83655 | <1% | 769 | $10K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 136 | $10K |
| 90680 | <1% | 2,121 | $7K | |
| 90633 | <1% | 1,355 | $5K | |
| 85018 | <1% | 808 | $4K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 84 | $3K |
| 90744 | <1% | 413 | $3K | |
| 90710 | <1% | 1,108 | $3K | |
| 96127 | <1% | 909 | $3K | |
| 90685 | <1% | 96 | $2K | |
| 99188 | <1% | 117 | $2K | |
| 0001A | <1% | 69 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $2K |
| 87400 | <1% | 78 | $2K | |
| 0002A | <1% | 48 | $2K | |
| 90651 | <1% | 652 | $1K | |
| 90671 | <1% | 674 | $743.60 | |
| 90734 | <1% | 32 | $525.95 | |
| 81002 | <1% | 159 | $395.28 | |
| 88720 | <1% | 25 | $107.11 | |
| 90672 | 0% | 110 | $0.00 | |
| 91300 | 0% | 114 | $0.00 | |
| 90715 | 0% | 135 | $0.00 | |
| 90619 | 0% | 260 | $0.00 | |
| 90696 | 0% | 232 | $0.00 | |
| 90697 | 0% | 198 | $0.00 | |
| 90688 | 0% | 12 | $0.00 | |
| 91307 | 0% | 61 | $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 officialMATUSIC, JOSEPH (PHYSICIAN)