Pediatrics Healthcare Associates

Pediatrics Healthcare Associates was paid $1.47M by Medicaid between May 2021 and Dec 2024, across 40 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% 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
2021	2,552	$89K
2022	8,925	$411K
2023	10,478	$505K
2024incomplete	8,227	$461K

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	35%	6,230	5,023	$514K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	3,030	2,719	$180K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	1,996	1,757	$155K
90460	Immunization administration through 18 years of age via any route, first or only component	9.1%	2,703	2,577	$133K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	7.8%	1,329	1,283	$115K
90461		5.5%	1,858	1,606	$80K
96110	Developmental screening, with scoring and documentation, per standardized instrument	4.6%	3,109	2,801	$68K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.6%	764	760	$67K
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	2.9%	439	397	$43K
99383		1.9%	324	295	$28K
99381		1.7%	316	289	$26K
99382		<1%	150	118	$11K

28 more codes

99215	Doctor's office visit, returning patient (complex)	<1%	67	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	440	$7K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	63	$6K
S3620	Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total)	<1%	98	$5K
99205	Prolong outpt/office vis	<1%	43	$5K
87428		<1%	49	$3K
96127		<1%	486	$2K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	140	$2K
90677		<1%	94	$1K
96160		<1%	1,163	$972.53
87807		<1%	79	$949.09
90698		<1%	1,122	$895.94
83655		<1%	56	$661.76
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	<1%	16	$660.98
90671		<1%	191	$527.63
85018		<1%	193	$440.82
90670		<1%	753	$424.20
90744		<1%	593	$331.59
90633		<1%	314	$270.27
90681		<1%	250	$216.32
99188		<1%	16	$183.15
90686		<1%	210	$148.06
90680		<1%	351	$140.22
99173		<1%	634	$121.61
99000		<1%	56	$56.50
90710		<1%	73	$46.29
90707		<1%	193	$45.97
90716		<1%	191	$45.97

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 officialBHATIA, RAHUL (OWNER)