Physician
Pediatric Associates, PA
Pediatric Associates, PA was paid $8K by Medicaid between Jan 2018 and Nov 2018, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES, PA
NEWARK, DE 19713
NEWARK, DE 19713
33aNPI1164534731assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$8K
24GClaims9,097
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers
Next to other Pediatrics Physician providers in Delaware
Rank by total paid#27 of 39
Median peer was paid$418K
This provider vs. median0.0×
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 | 9,097 | $8K |
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 | 48% | 2,249 | 1,887 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 31% | 703 | 578 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.5% | 614 | 494 | $759.12 |
| 90670 | 3.6% | 529 | 433 | $286.91 | |
| 90698 | 2.8% | 444 | 373 | $220.70 | |
| 90680 | 2.5% | 303 | 250 | $198.63 | |
| 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 | 1.4% | 66 | 52 | $111.23 |
| 90686 | <1% | 350 | 301 | $44.14 | |
| 99173 | <1% | 499 | 436 | $24.52 | |
| 90744 | <1% | 96 | 90 | $22.07 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,639 | 1,496 | $0.00 |
| 90461 | 0% | 592 | 542 | $0.00 |
12 more codes
| 90685 | 0% | 166 | $0.00 | |
| 90633 | 0% | 125 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 55 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 157 | $0.00 |
| 90707 | 0% | 15 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 17 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 28 | $0.00 |
| 90651 | 0% | 32 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 210 | $0.00 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 178 | $0.00 |
| 87081 | 0% | 16 | $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 officialMACOLLEY, MELISSA (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Delaware Modern Pediatrics | Newark, DE | $418K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.