Sewickley Valley Pediatrics & Adolescent Medicine

Sewickley Valley Pediatrics & Adolescent Medicine was paid $49K by Medicaid between Feb 2018 and Mar 2021, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoSEWICKLEY VALLEY PEDIATRICS & ADOLESCENT MEDICINE
SEWICKLEY, PA 15143

33aNPI1366429631assigned 12/28/2005

33bProvider typePediatrics Physician

28Total paid$49K

24GClaims1,577

24DCodes billed19

24AFirst – last monthFeb 2018 – Mar 2021

Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#612 of 1,257

Median peer was paid$45K

This provider vs. median1.1×

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	47	$2K
2019	269	$10K
2020	608	$16K
2021	653	$21K

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	37%	468	431	$18K
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	18%	163	157	$9K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	14%	73	73	$7K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	9.7%	51	51	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	5.2%	98	92	$3K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.0%	29	29	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.4%	26	25	$2K
90688		3.0%	122	120	$1K
96127		1.4%	259	238	$688.15
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	34	32	$420.00
90670		<1%	47	47	$290.00
90698		<1%	15	15	$100.00

7 more codes

90680		<1%	15	$100.00
90633		<1%	12	$80.00
99173		<1%	43	$72.00
92551		<1%	42	$72.00
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	16	$62.91
96160		<1%	50	$17.40
96161		<1%	14	$13.92

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 officialGRAFF, DANIEL (PRES/SVPAM PC)