Physician
Next Generation Pediatrics LLC
Next Generation Pediatrics LLC was paid $140K by Medicaid between Nov 2020 and Mar 2022, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoNEXT GENERATION PEDIATRICS LLC
BUTLER, PA 16001
BUTLER, PA 16001
33aNPI1164461695assigned 06/06/2006
33bProvider typePediatrics Physician
28Total paid$140K
24GClaims3,738
24DCodes billed23
24AFirst – last monthNov 2020 – Mar 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#419 of 1,257
Median peer was paid$45K
This provider vs. median3.1×
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 | 99 | $2K | |
| 2021 | 2,912 | $105K | |
| 2022 | 727 | $34K |
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 | 25% | 763 | 699 | $36K |
| 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 | 24% | 428 | 404 | $33K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 277 | 258 | $20K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 224 | 216 | $18K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 211 | 203 | $16K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.7% | 116 | 115 | $9K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 53 | 52 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 161 | 95 | $2K |
| 90686 | <1% | 128 | 126 | $1K | |
| 90707 | <1% | 54 | 53 | $478.00 | |
| 90670 | <1% | 76 | 74 | $440.00 | |
| 90648 | <1% | 72 | 70 | $418.00 |
11 more codes
| 90723 | <1% | 50 | $308.00 | |
| 90716 | <1% | 26 | $278.00 | |
| 90633 | <1% | 45 | $264.00 | |
| 99188 | <1% | 12 | $237.60 | |
| 90680 | <1% | 34 | $156.00 | |
| 96127 | <1% | 189 | $51.48 | |
| 99173 | 0% | 120 | $0.00 | |
| 96160 | 0% | 177 | $0.00 | |
| 92551 | 0% | 266 | $0.00 | |
| 96161 | 0% | 152 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 104 | $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 officialKLEPFER, KELLY (PRACTICE ADMINISTRATOR)