South Philadelphia Pediatrics
South Philadelphia Pediatrics was paid $716K by Medicaid between Oct 2018 and Dec 2024, across 46 billing codes. Its largest line is 99393, Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) — 18% of everything it billed.
PHILADELPHIA, PA 19146
Next to other Pediatrics Physician providers in Pennsylvania
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 61 | $879.81 | |
| 2019 | 50 | $767.50 | |
| 2020 | 1,899 | $24K | |
| 2021 | 13,925 | $188K | |
| 2022 | 13,547 | $149K | |
| 2023 | 14,727 | $189K | |
| 2024incomplete | 11,184 | $165K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 1,250 | 1,221 | $130K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 18% | 6,335 | 6,028 | $125K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 1,137 | 1,112 | $118K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 6,290 | 5,857 | $101K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 11% | 777 | 751 | $80K |
| 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 | 7.2% | 2,189 | 2,051 | $52K |
| 92552 | 3.7% | 4,207 | 4,095 | $26K | |
| 90461 | 3.5% | 1,323 | 1,202 | $25K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 265 | 251 | $24K |
| 99173 | <1% | 4,166 | 4,055 | $6K | |
| 0072A | <1% | 125 | 125 | $5K | |
| 96127 | <1% | 2,098 | 2,025 | $5K |
34 more codes
| 0071A | <1% | 108 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,303 | $4K |
| 0002A | <1% | 50 | $2K | |
| 0001A | <1% | 43 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 114 | $1K |
| 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% | 170 | $1K |
| 99177 | <1% | 257 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 117 | $877.02 |
| 99174 | <1% | 344 | $692.50 | |
| 90656 | <1% | 323 | $365.43 | |
| 90688 | <1% | 84 | $345.81 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $236.34 |
| 99072 | <1% | 15,031 | $134.73 | |
| 99000 | <1% | 1,553 | $42.12 | |
| 90686 | <1% | 2,547 | $21.24 | |
| 85018 | <1% | 148 | $10.50 | |
| 90698 | <1% | 688 | $3.41 | |
| 90670 | <1% | 649 | $3.13 | |
| 90651 | <1% | 344 | $1.56 | |
| 90734 | <1% | 236 | $1.31 | |
| 90680 | <1% | 279 | $1.26 | |
| 90633 | <1% | 254 | $1.24 | |
| 90744 | <1% | 110 | $0.48 | |
| 90715 | <1% | 68 | $0.37 | |
| 90696 | <1% | 28 | $0.14 | |
| 90710 | <1% | 13 | $0.13 | |
| 90716 | <1% | 24 | $0.08 | |
| 90658 | 0% | 32 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 3008F | 0% | 148 | $0.00 | |
| 96161 | 0% | 81 | $0.00 | |
| 91307 | 0% | 29 | $0.00 | |
| 36416 | 0% | 14 | $0.00 | |
| 90619 | 0% | 17 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Eye Love, INC. | Westminster, CA | $6K |
| Advanced Foot and Ankle Specialist of Texas PLLC | Richmond, TX | $83.97 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.