PM Pediatrics of Delaware PA
PM Pediatrics of Delaware PA was paid $161K by Medicaid between Sep 2022 and Aug 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
NEWARK, DE 19702
Next to other Urgent Care Clinic/Center providers in Delaware
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 137 | $15K | |
| 2023 | 1,584 | $103K | |
| 2024incomplete | 1,675 | $42K |
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 | 23% | 958 | 890 | $36K |
| S9083 | Global fee urgent care centers | 21% | 563 | 550 | $35K |
| 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 | 20% | 833 | 780 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 549 | 537 | $31K |
| 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 | 16% | 493 | 474 | $26K |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| PM Pediatrics of Bayside, PLLC | Bayside, NY | $43.78M |
| Night Lite Pediatric Center, LLC | Orlando, FL | $38.83M |
| PM Pediatrics of Maryland | Greenbelt, MD | $33.50M |
| PM Pediatrics of Selden | Selden, NY | $31.91M |
| PM Pediatrics of Connecticut | West Hartford, CT | $6.32M |
| PM Pediatrics of Pennsylvania | Wayne, PA | $5.42M |
| PM Pediatrics of Mamaroneck | Mamaroneck, NY | $3.85M |
| PM Pediatrics of Virginia | Springfield, VA | $3.13M |
| PM Pediatrics of Bayside PLLC | Spring Valley, NY | $2.45M |
| PM Pediatrics PC | Syosset, NY | $1.83M |
| PM Pediatric Care - New York, P.C. | New Hyde Park, NY | $1.08M |
| PM Pediatrics of New England LLC | Dedham, NY | $1.02M |
| PM Pediatrics of California | Los Angeles, CA | $346K |
| PM Pediatrics of Florida | Coral Springs, FL | $253K |
| PM Pediatrics of New England LLC | Woburn, MA | $145K |
| PM Pediatrics of New England LLC | Braintree, MA | $122K |
| PM Pediatrics of Selden | North Babylon, NY | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.