Clinic
Journey Pediatrics PC
Journey Pediatrics PC was paid $6.81M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoJOURNEY PEDIATRICS PC
ALBUQUERQUE, NM 87110
ALBUQUERQUE, NM 87110
33aNPI1205205630assigned 09/16/2015
33bProvider typePrimary Care Clinic/Center
28Total paid$6.81M
24GClaims130,071
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in New Mexico
Rank by total paid#3 of 31
Median peer was paid$263K
This provider vs. median26×
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 | 18,938 | $820K | |
| 2019 | 17,108 | $851K | |
| 2020 | 15,177 | $730K | |
| 2021 | 19,541 | $933K | |
| 2022 | 20,468 | $1.02M | |
| 2023 | 18,926 | $1.08M | |
| 2024incomplete | 19,913 | $1.37M |
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 | 21% | 21,207 | 20,375 | $1.43M |
| 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 | 17% | 10,786 | 10,417 | $1.16M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 19,725 | 19,407 | $903K |
| 90461 | 12% | 11,429 | 9,820 | $822K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 7,602 | 7,579 | $784K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 5,155 | 5,134 | $540K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 5,020 | 5,012 | $514K |
| 99173 | 3.5% | 11,250 | 11,230 | $236K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.1% | 2,068 | 2,065 | $209K |
| 92551 | <1% | 3,618 | 3,609 | $41K | |
| 99177 | <1% | 2,244 | 2,236 | $37K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,224 | 1,217 | $26K |
39 more codes
| 99080 | <1% | 4,271 | $23K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,033 | $16K |
| 96127 | <1% | 2,533 | $15K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 82 | $10K |
| 99381 | <1% | 53 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 598 | $9K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 79 | $9K |
| 99058 | <1% | 180 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 178 | $3K |
| 99441 | <1% | 34 | $2K | |
| 99383 | <1% | 13 | $2K | |
| 90686 | <1% | 4,851 | $2K | |
| 87430 | <1% | 58 | $895.07 | |
| 99174 | <1% | 80 | $735.70 | |
| 96161 | <1% | 110 | $497.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $463.21 |
| 85018 | <1% | 90 | $198.98 | |
| 96160 | <1% | 42 | $174.77 | |
| 90723 | <1% | 1,250 | $32.38 | |
| 3008F | <1% | 3,532 | $15.00 | |
| 90651 | <1% | 473 | $15.00 | |
| 90670 | <1% | 3,047 | $0.02 | |
| 90680 | <1% | 1,592 | $0.02 | |
| 90647 | <1% | 1,102 | $0.01 | |
| 90633 | 0% | 734 | $0.00 | |
| 90685 | 0% | 410 | $0.00 | |
| 90707 | 0% | 53 | $0.00 | |
| 90671 | 0% | 218 | $0.00 | |
| 90734 | 0% | 86 | $0.00 | |
| 90710 | 0% | 28 | $0.00 | |
| 90715 | 0% | 12 | $0.00 | |
| 90656 | 0% | 464 | $0.00 | |
| 90677 | 0% | 395 | $0.00 | |
| 90716 | 0% | 28 | $0.00 | |
| 90697 | 0% | 463 | $0.00 | |
| 90619 | 0% | 51 | $0.00 | |
| 90696 | 0% | 59 | $0.00 | |
| 90674 | 0% | 437 | $0.00 | |
| 90620 | 0% | 12 | $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 officialKOIL, ALWYN (OWNER)