Pediatric Healthcare, LLC

Pediatric Healthcare, LLC was paid $488K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 52% of everything it billed.

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
2018	744	$33K
2019	1,095	$38K
2020	833	$26K
2021	1,353	$50K
2022	2,214	$99K
2023	2,402	$112K
2024incomplete	2,923	$130K

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%	4,100	3,635	$255K
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	24%	1,200	1,100	$118K
90460	Immunization administration through 18 years of age via any route, first or only component	7.9%	889	876	$39K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	2.4%	1,546	1,507	$12K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.2%	127	127	$11K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	2.2%	979	463	$11K
90461		2.1%	205	202	$10K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.5%	252	243	$7K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.5%	653	632	$7K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.1%	63	62	$6K
99177		<1%	329	312	$4K
87070		<1%	283	277	$2K

11 more codes

81002		<1%	658	$2K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	12	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	14	$1K
90688		<1%	32	$629.16
87807		<1%	47	$500.40
90661		<1%	13	$479.05
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	19	$475.00
90756		<1%	18	$453.18
96127		<1%	24	$113.82
99000		<1%	31	$93.33
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	70	$13.32

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 officialGLOVER, MARTIN (OWNER)