Physician
Pennridge Pediataric Associates INC
Pennridge Pediataric Associates INC was paid $823K by Medicaid between Aug 2020 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.
33Billing provider infoPENNRIDGE PEDIATARIC ASSOCIATES INC
SELLERSVILLE, PA 18960
SELLERSVILLE, PA 18960
33aNPI1396701702assigned 04/25/2006
33bProvider typePediatrics Physician
28Total paid$823K
24GClaims21,405
24DCodes billed41
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#123 of 1,257
Median peer was paid$45K
This provider vs. median18×
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 | 893 | $23K | |
| 2021 | 6,202 | $219K | |
| 2022 | 5,561 | $193K | |
| 2023 | 5,480 | $240K | |
| 2024incomplete | 3,269 | $147K |
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 | 52% | 10,096 | 9,797 | $427K |
| 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 | 14% | 1,926 | 1,878 | $112K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10.0% | 903 | 861 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.9% | 637 | 626 | $73K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.1% | 615 | 607 | $50K |
| 90686 | 1.7% | 1,501 | 1,498 | $14K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.0% | 73 | 73 | $8K |
| 99177 | <1% | 800 | 773 | $8K | |
| 99499 | <1% | 266 | 258 | $6K | |
| 90698 | <1% | 559 | 556 | $5K | |
| 90670 | <1% | 631 | 628 | $5K | |
| 99080 | <1% | 155 | 153 | $4K |
29 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 442 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 164 | $3K |
| 90680 | <1% | 395 | $3K | |
| 90633 | <1% | 300 | $3K | |
| 0071A | <1% | 69 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 81 | $2K |
| 90744 | <1% | 215 | $2K | |
| 90656 | <1% | 171 | $1K | |
| 96127 | <1% | 408 | $1K | |
| 0072A | <1% | 37 | $1K | |
| 90621 | <1% | 68 | $650.82 | |
| 90734 | <1% | 43 | $595.56 | |
| 0001A | <1% | 15 | $588.00 | |
| 90671 | <1% | 40 | $549.34 | |
| 0002A | <1% | 12 | $504.00 | |
| 90619 | <1% | 96 | $447.64 | |
| 90651 | <1% | 81 | $382.86 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 15 | $201.48 |
| 90696 | <1% | 26 | $184.34 | |
| 90710 | <1% | 24 | $170.16 | |
| 90716 | <1% | 25 | $170.16 | |
| 99173 | <1% | 200 | $78.00 | |
| 90715 | <1% | 45 | $42.54 | |
| 99051 | <1% | 41 | $15.00 | |
| 99000 | <1% | 159 | $1.80 | |
| 90707 | 0% | 12 | $0.00 | |
| 96160 | 0% | 13 | $0.00 | |
| 94760 | 0% | 16 | $0.00 | |
| 90697 | 0% | 30 | $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 officialGROFF, THYRA (OFFICE MANAGER)