Physician
Ambler Pediatrics, PC
Ambler Pediatrics, PC was paid $202K by Medicaid between Oct 2020 and Dec 2024, across 20 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoAMBLER PEDIATRICS, PC
AMBLER, PA 19002
AMBLER, PA 19002
33aNPI1174579114assigned 05/25/2006
33bProvider typePediatrics Physician
28Total paid$202K
24GClaims4,984
24DCodes billed20
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#343 of 1,257
Median peer was paid$45K
This provider vs. median4.4×
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 | 265 | $5K | |
| 2021 | 1,221 | $49K | |
| 2022 | 1,233 | $54K | |
| 2023 | 1,375 | $57K | |
| 2024incomplete | 890 | $36K |
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 | 32% | 1,535 | 1,364 | $65K |
| 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 | 26% | 949 | 882 | $53K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 220 | 220 | $27K |
| 99080 | 12% | 885 | 838 | $24K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 206 | 206 | $19K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 46 | 46 | $4K |
| 90688 | 1.8% | 290 | 290 | $4K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | 12 | $1K |
| 90686 | <1% | 85 | 85 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 138 | 118 | $895.29 |
| 99499 | <1% | 41 | 36 | $881.00 | |
| 96160 | <1% | 163 | 161 | $539.27 |
8 more codes
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 officialSEROTA, FREDRIC (PRESIDENT)