Physician
Pediatrics 21, LLC
Pediatrics 21, LLC was paid $613K by Medicaid between Oct 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoPEDIATRICS 21, LLC
PLAINS, PA 18705
PLAINS, PA 18705
33aNPI1194134304assigned 08/13/2014
33bProvider typePediatrics Physician
28Total paid$613K
24GClaims22,922
24DCodes billed41
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#163 of 1,257
Median peer was paid$45K
This provider vs. median13×
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 | 36 | $304.00 | |
| 2019 | 64 | $1K | |
| 2020 | 640 | $13K | |
| 2021 | 6,094 | $144K | |
| 2022 | 5,287 | $145K | |
| 2023 | 5,210 | $147K | |
| 2024incomplete | 5,591 | $162K |
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 | 23% | 4,427 | 4,110 | $141K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 1,404 | 1,383 | $126K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 1,260 | 1,248 | $107K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 979 | 945 | $78K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 374 | 367 | $32K |
| 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 | 5.0% | 622 | 597 | $31K |
| 92552 | 2.4% | 1,828 | 1,800 | $15K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.8% | 564 | 541 | $11K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 1,420 | 1,395 | $10K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.5% | 272 | 265 | $9K |
| Q3014 | Telehealth originating site facility fee | 1.2% | 476 | 459 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,118 | 1,070 | $7K |
29 more codes
| 92015 | Determination of refractive state | 1.1% | 729 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 436 | $6K |
| 99173 | <1% | 800 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 155 | $4K |
| 96127 | <1% | 933 | $4K | |
| 90686 | <1% | 908 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 193 | $3K |
| 90670 | <1% | 562 | $2K | |
| 90698 | <1% | 260 | $970.00 | |
| 90461 | <1% | 28 | $690.00 | |
| 81007 | <1% | 242 | $679.98 | |
| 0072A | <1% | 17 | $640.00 | |
| 90656 | <1% | 173 | $616.00 | |
| 0071A | <1% | 15 | $600.00 | |
| 90680 | <1% | 220 | $600.00 | |
| 90696 | <1% | 48 | $529.97 | |
| 90677 | <1% | 217 | $463.72 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 58 | $438.11 |
| 90633 | <1% | 247 | $420.00 | |
| 96161 | <1% | 115 | $370.10 | |
| 90710 | <1% | 42 | $340.00 | |
| 90734 | <1% | 12 | $206.30 | |
| 90715 | <1% | 84 | $195.04 | |
| 99072 | <1% | 1,489 | $39.60 | |
| 90671 | 0% | 14 | $0.00 | |
| 90707 | 0% | 20 | $0.00 | |
| 90651 | 0% | 84 | $0.00 | |
| 90619 | 0% | 54 | $0.00 | |
| 90716 | 0% | 23 | $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 officialSEHIC, AZRA (OWNER,PHYSICIAN)