Clinic
Ideal Pediatric and Adolescent Care
Ideal Pediatric and Adolescent Care was paid $288K by Medicaid between May 2020 and Dec 2024, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.
33Billing provider infoIDEAL PEDIATRIC AND ADOLESCENT CARE
LEWISBURG, PA 17837
LEWISBURG, PA 17837
33aNPI1154879096assigned 09/21/2016
33bProvider typeClinic/Center
28Total paid$288K
24GClaims7,412
24DCodes billed21
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Pennsylvania
Rank by total paid#97 of 176
Median peer was paid$441K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2020 | 970 | $25K | |
| 2021 | 2,080 | $77K | |
| 2022 | 1,479 | $61K | |
| 2023 | 1,689 | $72K | |
| 2024incomplete | 1,194 | $54K |
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 | 39% | 2,430 | 2,100 | $111K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 22% | 724 | 680 | $64K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 1,786 | 1,531 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 475 | 407 | $38K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.8% | 168 | 165 | $14K |
| 99188 | <1% | 150 | 142 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 220 | 204 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 66 | 59 | $1K |
| 90686 | <1% | 309 | 301 | $500.00 | |
| 96160 | <1% | 120 | 119 | $480.24 | |
| 90670 | <1% | 99 | 94 | $380.00 | |
| 99429 | <1% | 16 | 16 | $375.00 |
9 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 154 | $340.00 |
| 90648 | <1% | 108 | $250.00 | |
| 99072 | <1% | 270 | $151.20 | |
| 96161 | <1% | 35 | $121.80 | |
| 99056 | 0% | 31 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 123 | $0.00 |
| 90723 | 0% | 14 | $0.00 | |
| 90656 | 0% | 57 | $0.00 | |
| 90461 | 0% | 57 | $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 officialO'HARA, MARY BETH (PRESIDENT)