Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatrics for You, PLLC

Pediatrics for You, PLLC was paid $2.08M by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoPEDIATRICS FOR YOU, PLLC
KENNEWICK, WA 99336
33aNPI1427240449assigned 08/14/2007
33bProvider typePediatrics Physician
28Total paid$2.08M
24GClaims46,579
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Washington

Rank by total paid#14 of 110
Median peer was paid$57K
This provider vs. median37×

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

$0$20K$40K2018201920202021202220232024
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
20185,817$248K
20197,477$311K
20205,877$275K
20218,533$346K
20228,330$352K
20235,203$250K
2024incomplete5,342$297K
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 29% 9,108 7,727 $613K
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 28% 5,937 5,191 $573K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.8% 2,029 1,997 $183K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.7% 1,731 1,693 $160K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.9% 1,186 1,161 $102K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.5% 945 919 $94K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.5% 323 195 $52K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 2.4% 1,394 1,322 $51K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.9% 2,709 1,316 $39K
99499 1.4% 1,044 1,005 $29K
99429 1.3% 1,020 977 $27K
90686 <1% 1,313 1,298 $18K
32 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 993 $14K
D0120 Dental checkup, returning patient <1% 516 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 619 $12K
90670 <1% 839 $11K
96127 <1% 3,379 $10K
90648 <1% 706 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 221 $9K
81002 <1% 2,674 $8K
D9999 Unspecified adjunctive procedure, by report <1% 319 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 998 $7K
87420 <1% 511 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 210 $4K
90688 <1% 285 $4K
90723 <1% 332 $4K
90680 <1% 293 $3K
90651 <1% 178 $2K
99173 <1% 1,695 $2K
90472 Immunization administration, each additional vaccine (list separately) <1% 94 $2K
0071A <1% 45 $2K
90633 <1% 117 $1K
99442 <1% 12 $839.76
90656 <1% 159 $759.78
90685 <1% 55 $754.86
0072A <1% 18 $720.00
90715 <1% 57 $664.29
90734 <1% 58 $646.52
0001A <1% 17 $640.00
0002A <1% 15 $520.00
90696 <1% 14 $255.97
91307 0% 101 $0.00
99072 0% 2,218 $0.00
91300 0% 92 $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 officialMATTA, SHELLEY (CLINIC MANAGER)