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.
DOWNINGTON, PA 19335
Next to other Pediatrics Physician providers in Pennsylvania
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 | |
|---|---|---|---|
| 2018 | 1,205 | $28K | |
| 2019 | 2,474 | $68K | |
| 2020 | 5,258 | $197K | |
| 2021 | 25,088 | $1.04M | |
| 2022 | 28,092 | $1.18M | |
| 2023 | 28,552 | $1.25M | |
| 2024incomplete | 25,144 | $1.09M |
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 | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Prohealth Care Associates LLP | Lake Success, NY | $69.52M |
| C H L EMS INC | Visalia, CA | $10.59M |
| Stoddard County Ambulance District | Dexter, MO | $4.67M |
| Tidewater LLC | Lexington Park, MD | $735K |
| DRS. Cooper & Banninger, LLC. | Salina, KS | $587K |
| No Limit Life LLC | Pennsauken, NJ | $366K |
| Tidewater LLC | Lexington Park, MD | $192K |
| Tidewater LLC | Solomons, MD | $82K |
| Tidewater LLC | Prince Frederick, MD | $74K |
| Tidewater LLC | Dunkirk, MD | $21K |
| Tidewater LLC | Lanham, MD | $21K |
| Mobile Medical Services P.C. | New Hyde Park, NY | $3K |
| Chester County Pediatrics PC | Avondale, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.