SCHC Pediatric Associates, LLC
SCHC Pediatric Associates, LLC was paid $1.16M by Medicaid between Jan 2018 and Oct 2023, across 45 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoSCHC PEDIATRIC ASSOCIATES, LLC
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
33aNPI1255363578assigned 07/07/2006
33bProvider typeNutritionist
28Total paid$1.16M
24GClaims24,108
24DCodes billed45
24AFirst – last monthJan 2018 – Oct 2023
Compared with peers
Next to other Nutritionist providers in Pennsylvania
Rank by total paid#3 of 8
Median peer was paid$9K
This provider vs. median131×
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 | 9,474 | $534K | |
| 2019 | 9,442 | $533K | |
| 2020 | 2,817 | $90K | |
| 2021 | 365 | $3K | |
| 2022 | 1,354 | $0.00 | |
| 2023 | 656 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 5,478 | 5,191 | $290K |
| 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% | 5,045 | 4,656 | $243K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 13% | 1,230 | 1,224 | $155K |
| 99243 | 10% | 1,219 | 1,196 | $121K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.9% | 353 | 353 | $56K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.4% | 1,754 | 1,397 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 496 | 495 | $42K |
| 93000 | 3.1% | 1,398 | 1,381 | $36K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 1,129 | 928 | $36K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.8% | 536 | 509 | $33K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 267 | 267 | $21K |
| 93325 | <1% | 275 | 269 | $11K |
33 more codes
| 92567 | <1% | 660 | $7K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 194 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 402 | $6K |
| 99242 | <1% | 48 | $5K | |
| 92557 | <1% | 116 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 75 | $4K |
| 88304 | <1% | 56 | $3K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 27 | $3K |
| 90686 | <1% | 118 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 178 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 61 | $3K |
| 95812 | <1% | 41 | $2K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 13 | $2K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 12 | $2K |
| 99354 | <1% | 17 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $2K |
| 99173 | <1% | 181 | $1K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 199 | $1K |
| 92579 | <1% | 95 | $1K | |
| 71045 | Radiologic examination, chest; single view | <1% | 145 | $1K |
| 90688 | <1% | 241 | $638.25 | |
| 99174 | <1% | 236 | $623.90 | |
| 93320 | <1% | 12 | $578.71 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 57 | $512.85 |
| 92587 | <1% | 12 | $435.25 | |
| 93321 | <1% | 14 | $323.12 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $314.20 |
| 92551 | <1% | 25 | $276.16 | |
| 94664 | <1% | 12 | $166.98 | |
| 92015 | Determination of refractive state | <1% | 1,038 | $62.50 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 13 | $31.60 |
| 81002 | <1% | 24 | $4.05 | |
| 94760 | 0% | 578 | $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 officialJAMES, WESLEY (REGIONAL CFO, TENET)
| Provider | Location | Paid |
|---|---|---|
| HPS of PA LLC | Philadelphia, PA | $45K |
| St.Chris Care at Northeast Pediatrics, LLC | Philadelphia, PA | $11K |
| TPS V of PA,, LLC | Yardley, PA | $10K |
| TPS III of PA, LLC | Philadelphia, PA | $6K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.