Physician
Providence Pediatrics, PC
Providence Pediatrics, PC was paid $336K by Medicaid between Oct 2020 and Dec 2024, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.
33Billing provider infoPROVIDENCE PEDIATRICS, PC
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
33aNPI1265575955assigned 02/14/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$336K
24GClaims9,196
24DCodes billed18
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#11 of 44
Median peer was paid$39K
This provider vs. median8.6×
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 | |
|---|---|---|---|
| 2020 | 375 | $10K | |
| 2021 | 2,497 | $87K | |
| 2022 | 1,978 | $76K | |
| 2023 | 2,590 | $96K | |
| 2024incomplete | 1,756 | $68K |
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 | 26% | 2,554 | 2,341 | $89K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 25% | 906 | 876 | $83K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 19% | 746 | 730 | $65K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 18% | 729 | 667 | $59K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.8% | 145 | 145 | $13K |
| 99173 | 2.5% | 1,406 | 1,374 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 829 | 788 | $6K |
| 90686 | 1.5% | 956 | 948 | $5K | |
| 92551 | 1.4% | 482 | 480 | $5K | |
| 90698 | <1% | 160 | 136 | $940.00 | |
| 90670 | <1% | 86 | 84 | $700.00 | |
| 90671 | <1% | 24 | 24 | $356.20 |
6 more codes
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 officialDEMAY, JOSEPH (PRESIDENT)