Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Associates PC

Pediatric Associates PC was paid $701K by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 65% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES PC
PHOENIX, AZ 85020
33aNPI1194810127assigned 10/04/2006
33bProvider typePediatrics Physician
28Total paid$701K
24GClaims17,958
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#76 of 235
Median peer was paid$164K
This provider vs. median4.3×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20183,140$106K
20193,782$125K
20202,286$69K
20212,869$118K
20222,568$117K
20232,086$104K
2024incomplete1,227$64K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 65% 8,613 8,099 $454K
90460 Immunization administration through 18 years of age via any route, first or only component 19% 3,440 3,346 $134K
90461 5.9% 863 783 $41K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.5% 209 208 $18K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.8% 469 414 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.5% 119 119 $10K
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 1.3% 129 121 $9K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1.2% 120 119 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 460 349 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 212 208 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 145 143 $2K
94760 <1% 977 922 $830.24
10 more codes
99177 <1% 108 $469.71
85018 <1% 153 $372.08
90686 <1% 1,136 $92.07
36416 <1% 329 $21.59
99072 0% 245 $0.00
90670 0% 67 $0.00
90744 0% 13 $0.00
90656 0% 113 $0.00
90698 0% 25 $0.00
90680 0% 13 $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 officialLERSCH, DAVID (PRESIDENT)