Peds Tots to Teens LLC

Peds Tots to Teens LLC was paid $130K by Medicaid between Sep 2023 and Dec 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

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
2023	328	$20K
2024incomplete	1,780	$110K

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	39%	497	439	$51K
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%	156	142	$23K
90461		14%	198	195	$18K
90460	Immunization administration through 18 years of age via any route, first or only component	6.9%	324	317	$9K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	6.2%	70	64	$8K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	4.9%	57	33	$6K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.9%	312	311	$5K
92552		2.5%	130	130	$3K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.1%	25	25	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.2%	14	14	$2K
96127		<1%	82	80	$999.13
99173		<1%	27	27	$789.28

5 more codes

96160		<1%	102	$415.13
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	$222.72
90656		0%	62	$0.00
90677		0%	26	$0.00
90686		0%	14	$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 officialPHILLIPS, USHA (OWNER)