Physician
Skyline Pediatrics Professional Corporation
Skyline Pediatrics Professional Corporation was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoSKYLINE PEDIATRICS PROFESSIONAL CORPORATION
TUCSON, AZ 85718
TUCSON, AZ 85718
33aNPI1184948416assigned 03/15/2010
33bProvider typePediatrics Physician
28Total paid$1.61M
24GClaims46,298
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#47 of 235
Median peer was paid$164K
This provider vs. median9.8×
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 | 7,176 | $218K | |
| 2019 | 7,436 | $191K | |
| 2020 | 8,007 | $236K | |
| 2021 | 6,783 | $266K | |
| 2022 | 7,036 | $307K | |
| 2023 | 5,612 | $231K | |
| 2024incomplete | 4,248 | $163K |
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 | 38% | 12,013 | 11,081 | $612K |
| 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% | 5,240 | 4,849 | $392K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 1,478 | 1,434 | $113K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 6.7% | 2,379 | 2,321 | $108K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 6.2% | 5,880 | 5,714 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 1,076 | 1,041 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 775 | 752 | $56K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 3.0% | 1,354 | 1,308 | $48K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 838 | 804 | $21K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 217 | 214 | $18K |
| 96160 | <1% | 5,163 | 4,993 | $15K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 155 | 155 | $13K |
25 more codes
| 96161 | <1% | 4,263 | $11K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 425 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 133 | $6K |
| 90474 | <1% | 151 | $3K | |
| 92551 | <1% | 480 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 137 | $2K |
| 99173 | <1% | 463 | $450.16 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $379.02 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | $178.77 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $140.33 |
| 90686 | <1% | 1,279 | $51.47 | |
| 90700 | <1% | 579 | $1.09 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $0.48 |
| 90713 | <1% | 254 | $0.01 | |
| 90648 | <1% | 253 | $0.01 | |
| 90670 | <1% | 196 | $0.01 | |
| 90680 | 0% | 76 | $0.00 | |
| 90716 | 0% | 32 | $0.00 | |
| 90656 | 0% | 29 | $0.00 | |
| 99000 | 0% | 119 | $0.00 | |
| 90688 | 0% | 108 | $0.00 | |
| 99072 | 0% | 559 | $0.00 | |
| 99001 | 0% | 55 | $0.00 | |
| 90633 | 0% | 57 | $0.00 | |
| 90707 | 0% | 31 | $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 officialKOPAS, BRICE (PRESIDENT)