Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Downington › NPI 1407880263
Physician

Chester County Pediatrics

Chester County Pediatrics was paid $4.85M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.

33Billing provider infoCHESTER COUNTY PEDIATRICS
DOWNINGTON, PA 19335
33aNPI1407880263assigned 07/10/2006
33bProvider typePediatrics Physician
28Total paid$4.85M
24GClaims115,813
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#13 of 1,257
Median peer was paid$45K
This provider vs. median107×

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 COOPER, DAVID controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20181,205$28K
20192,474$68K
20205,258$197K
202125,088$1.04M
202228,092$1.18M
202328,552$1.25M
2024incomplete25,144$1.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27% 24,025 21,769 $1.30M
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 13% 8,904 8,312 $650K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 5,646 5,568 $601K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 11% 4,551 4,458 $522K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 11% 4,791 4,716 $515K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.9% 3,288 3,231 $333K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 4.5% 6,015 5,716 $219K
90460 Immunization administration through 18 years of age via any route, first or only component 2.3% 6,336 6,111 $111K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.6% 3,603 3,467 $80K
92551 1.1% 6,536 6,343 $53K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.1% 6,482 6,139 $53K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 770 764 $40K
49 more codes
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,336 $40K
99173 <1% 5,893 $34K
99381 <1% 356 $32K
99499 <1% 1,435 $29K
90686 <1% 3,255 $26K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 642 $22K
96127 <1% 3,563 $15K
90651 <1% 1,149 $13K
87807 <1% 924 $11K
0071A <1% 281 $11K
0072A <1% 245 $10K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,086 $10K
90670 <1% 1,660 $10K
90681 <1% 1,117 $9K
0001A <1% 210 $8K
90619 <1% 935 $8K
90697 <1% 772 $8K
90633 <1% 990 $7K
90734 <1% 546 $7K
90710 <1% 892 $7K
0002A <1% 171 $7K
90698 <1% 1,306 $6K
90677 <1% 638 $6K
99177 <1% 348 $5K
87428 <1% 147 $4K
90656 <1% 473 $4K
90715 <1% 506 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 150 $3K
96161 <1% 1,401 $3K
0003A <1% 70 $3K
99383 <1% 17 $2K
90696 <1% 224 $2K
92587 <1% 52 $2K
85018 <1% 582 $2K
90685 <1% 104 $1K
0011A <1% 52 $1K
90744 <1% 281 $1K
83655 <1% 155 $1K
99188 <1% 76 $1K
0012A <1% 35 $950.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 59 $916.36
90700 <1% 203 $834.08
93000 <1% 34 $627.67
81002 <1% 186 $605.18
0073A <1% 14 $560.00
36415 Collection of venous blood by venipuncture <1% 69 $290.95
96160 <1% 151 $267.11
90713 <1% 32 $92.17
90472 Immunization administration, each additional vaccine (list separately) <1% 43 $54.00

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 officialCOOPER, DAVID (OWNER)
Same official

Other billing entities under COOPER, DAVID

Full network →
ProviderLocationPaid
Prohealth Care Associates LLPLake Success, NY$69.52M
C H L EMS INCVisalia, CA$10.59M
Stoddard County Ambulance DistrictDexter, MO$4.67M
Tidewater LLCLexington Park, MD$735K
DRS. Cooper & Banninger, LLC.Salina, KS$587K
No Limit Life LLCPennsauken, NJ$366K
Tidewater LLCLexington Park, MD$192K
Tidewater LLCSolomons, MD$82K
Tidewater LLCPrince Frederick, MD$74K
Tidewater LLCDunkirk, MD$21K
Tidewater LLCLanham, MD$21K
Mobile Medical Services P.C.New Hyde Park, NY$3K
Chester County Pediatrics PCAvondale, PA$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.