Clinic
Pediatric Associates, LLC
Pediatric Associates, LLC was paid $3.66M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES, LLC
BRISTOL, CT 06010
BRISTOL, CT 06010
33aNPI1295920015assigned 09/14/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$3.66M
24GClaims111,184
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Connecticut
Rank by total paid#4 of 36
Median peer was paid$63K
This provider vs. median58×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LOPEZ, MARIA controls 17+ related entities in our dataset. Read more
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 | 11,016 | $498K | |
| 2019 | 13,068 | $509K | |
| 2020 | 12,565 | $416K | |
| 2021 | 16,015 | $516K | |
| 2022 | 20,973 | $590K | |
| 2023 | 18,670 | $565K | |
| 2024incomplete | 18,877 | $571K |
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 | 25% | 13,672 | 11,842 | $921K |
| 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 | 24% | 8,837 | 7,578 | $873K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 16,113 | 14,271 | $442K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,852 | 3,411 | $392K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.2% | 2,250 | 2,002 | $228K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 2,055 | 1,828 | $195K |
| 96127 | 3.7% | 12,373 | 6,330 | $136K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.1% | 7,167 | 5,684 | $115K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 2,435 | 2,173 | $103K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 993 | 839 | $100K |
| 99173 | <1% | 5,474 | 4,910 | $35K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 926 | 878 | $29K |
27 more codes
| 36416 | <1% | 8,714 | $26K | |
| 92551 | <1% | 4,576 | $26K | |
| 99070 | <1% | 663 | $22K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,044 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 645 | $6K |
| 99177 | <1% | 160 | $3K | |
| 90686 | <1% | 6,556 | $862.74 | |
| 92583 | <1% | 37 | $713.00 | |
| 83655 | <1% | 55 | $566.44 | |
| 96160 | <1% | 21 | $401.76 | |
| 87807 | <1% | 14 | $160.30 | |
| 85018 | <1% | 8,821 | $97.18 | |
| 99072 | 0% | 527 | $0.00 | |
| 90670 | 0% | 793 | $0.00 | |
| 90685 | 0% | 14 | $0.00 | |
| 90633 | 0% | 25 | $0.00 | |
| 99001 | 0% | 14 | $0.00 | |
| 90671 | 0% | 101 | $0.00 | |
| 90734 | 0% | 30 | $0.00 | |
| 90698 | 0% | 894 | $0.00 | |
| 90680 | 0% | 166 | $0.00 | |
| 90656 | 0% | 988 | $0.00 | |
| 90744 | 0% | 38 | $0.00 | |
| 99000 | 0% | 103 | $0.00 | |
| 0092A | 0% | 13 | $0.00 | |
| 91309 | 0% | 13 | $0.00 | |
| 90651 | 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 officialLOPEZ, MARIA (PRACTICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Morning Star Adult Day Care Corp | Miami, FL | $990K |
| Flanders Pediatrics LLC | East Lyme, CT | $772K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $370K |
| Metro Toa Baja, INC. | Toa Baja, PR | $209K |
| Laboratorio Alhambra, LLC | Juana Diaz, PR | $113K |
| Metro Pavia Healthcare Center | Bayamon, PR | $75K |
| Integrate Community Health System | Aguadilla, PR | $70K |
| Metro Toa Baja INC. | Toa Baja, PR | $66K |
| Metro Toa Baja INC. | Toa Baja, PR | $37K |
| Madorsky, Pinon, Bruck & Mennie Urology Center of South Florida PA | Miami, FL | $14K |
| Metro Pavia Healthcare Center | Arecibo, PR | $7K |
| Metro Pavia Healthcare Centers INC | Ponce, PR | $5K |
| Integrate Community Health System | Fajardo, PR | $4K |
| Metro Pavia Healthcare Center | Bayamon, PR | $3K |
| Integrate Community Health System | Aguadilla, PR | $2K |
| Metro Pavia Healthcare Centers | Bayamon, PR | $1K |
| Maria Isabel Lopez, MD, PA | Daytona Beach, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.