Spectrum Pediatric GRP

Spectrum Pediatric GRP was paid $2.58M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

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	6,460	$311K
2019	7,985	$373K
2020	9,635	$367K
2021	9,129	$384K
2022	10,343	$466K
2023	9,473	$443K
2024incomplete	4,755	$237K

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	34%	12,251	11,213	$866K
90460	Immunization administration through 18 years of age via any route, first or only component	15%	8,160	7,778	$378K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	12%	3,056	3,008	$308K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.2%	2,104	2,040	$212K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	8.2%	2,326	2,178	$211K
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	7.1%	1,762	1,714	$184K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	5.7%	3,474	3,296	$147K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.5%	1,068	1,022	$117K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.7%	4,540	4,392	$43K
87636	Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B	1.4%	248	244	$36K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	1,955	1,900	$30K
92551		<1%	3,462	3,277	$12K

36 more codes

87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	415	$11K
99173		<1%	1,087	$3K
99383		<1%	26	$3K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	74	$3K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	37	$3K
85018		<1%	735	$2K
99401		<1%	1,906	$2K
0071A		<1%	47	$2K
99382		<1%	12	$1K
0072A		<1%	27	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	49	$1K
96127		<1%	249	$1K
0001A		<1%	21	$888.76
0002A		<1%	15	$608.00
99188		<1%	30	$549.70
90647		<1%	965	$417.21
90686		<1%	1,811	$360.91
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	14	$254.71
90651		<1%	232	$216.99
36416		<1%	364	$171.77
81000		<1%	14	$59.26
90633		<1%	683	$58.85
90672		<1%	35	$28.31
90700		0%	38	$0.00
90670		0%	1,861	$0.00
90707		0%	471	$0.00
90681		0%	137	$0.00
90734		0%	265	$0.00
90715		0%	38	$0.00
90685		0%	55	$0.00
90723		0%	952	$0.00
90716		0%	474	$0.00
91307		0%	77	$0.00
90620		0%	45	$0.00
90696		0%	37	$0.00
90656		0%	76	$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 officialOLOGUNJA, KOLA (PRESIDENT)