Physician
Mercy Pediatric Associates PC
Mercy Pediatric Associates PC was paid $1.25M by Medicaid between Oct 2019 and Oct 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoMERCY PEDIATRIC ASSOCIATES PC
DARBY, PA 19023
DARBY, PA 19023
33aNPI1417922782assigned 02/21/2006
33bProvider typePediatrics Physician
28Total paid$1.25M
24GClaims25,651
24DCodes billed37
24AFirst – last monthOct 2019 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#83 of 1,257
Median peer was paid$45K
This provider vs. median28×
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 | |
|---|---|---|---|
| 2019 | 14 | $238.00 | |
| 2020 | 1,722 | $73K | |
| 2021 | 8,343 | $382K | |
| 2022 | 8,500 | $398K | |
| 2023 | 6,783 | $389K | |
| 2024incomplete | 289 | $11K |
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 | 34% | 8,891 | 8,441 | $428K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 1,357 | 1,354 | $184K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 1,505 | 1,494 | $170K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,366 | 1,350 | $146K |
| 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 | 7.0% | 1,298 | 1,266 | $87K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.6% | 757 | 749 | $82K |
| 99499 | 3.9% | 1,480 | 1,438 | $49K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 747 | 728 | $26K |
| 90686 | 1.1% | 1,512 | 1,512 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 63 | 63 | $7K |
| 90672 | <1% | 623 | 622 | $6K | |
| 96127 | <1% | 1,297 | 1,292 | $5K |
25 more codes
| 99188 | <1% | 220 | $5K | |
| 90670 | <1% | 756 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 70 | $5K |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 257 | $4K |
| 90633 | <1% | 449 | $4K | |
| 90651 | <1% | 378 | $3K | |
| 90710 | <1% | 461 | $3K | |
| 90620 | <1% | 306 | $3K | |
| 90734 | <1% | 338 | $3K | |
| 90697 | <1% | 285 | $3K | |
| 90723 | <1% | 168 | $2K | |
| 90715 | <1% | 161 | $2K | |
| 90619 | <1% | 137 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 73 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 105 | $868.35 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $787.50 |
| 90671 | <1% | 58 | $756.28 | |
| 90681 | <1% | 178 | $590.85 | |
| 0071A | <1% | 14 | $560.00 | |
| 90647 | <1% | 39 | $485.81 | |
| 90698 | <1% | 39 | $354.51 | |
| 92552 | <1% | 95 | $336.22 | |
| 69210 | <1% | 15 | $315.00 | |
| 90696 | <1% | 57 | $183.82 | |
| 99173 | <1% | 82 | $145.20 |
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 officialGENOVA, JACQUELINE (PRESIDENT)