Physician
Pizzica Pediatrics LLC
Pizzica Pediatrics LLC was paid $3.33M by Medicaid between Jul 2020 and Dec 2024, across 67 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPIZZICA PEDIATRICS LLC
PHILADELPHIA, PA 19125
PHILADELPHIA, PA 19125
33aNPI1457348278assigned 10/06/2005
33bProvider typePediatrics Physician
28Total paid$3.33M
24GClaims110,386
24DCodes billed67
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#20 of 1,257
Median peer was paid$45K
This provider vs. median73×
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 | |
|---|---|---|---|
| 2020 | 8,810 | $190K | |
| 2021 | 35,589 | $869K | |
| 2022 | 29,717 | $774K | |
| 2023 | 19,151 | $772K | |
| 2024incomplete | 17,119 | $725K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 15,546 | 13,218 | $1.37M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.8% | 2,798 | 2,691 | $326K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 2,851 | 2,758 | $317K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.3% | 4,635 | 4,222 | $277K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 2,282 | 2,198 | $268K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 1,811 | 1,645 | $189K |
| Q3014 | Telehealth originating site facility fee | 2.3% | 3,753 | 3,334 | $78K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.1% | 596 | 579 | $70K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 1,470 | 1,342 | $56K |
| 92551 | 1.6% | 5,386 | 5,139 | $54K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 5,204 | 4,594 | $45K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 8,798 | 4,988 | $37K |
55 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 258 | $30K |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 1,782 | $22K |
| 0001A | <1% | 545 | $21K | |
| 0002A | <1% | 374 | $15K | |
| 96127 | <1% | 3,138 | $13K | |
| 0071A | <1% | 345 | $12K | |
| 99051 | <1% | 1,403 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 699 | $9K |
| 99050 | <1% | 343 | $9K | |
| 90461 | <1% | 2,266 | $8K | |
| 90686 | <1% | 2,413 | $8K | |
| 0072A | <1% | 208 | $8K | |
| 99188 | <1% | 373 | $8K | |
| 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% | 532 | $7K |
| 99173 | <1% | 4,701 | $6K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 2,209 | $6K |
| 96160 | <1% | 2,664 | $6K | |
| 99499 | <1% | 180 | $5K | |
| 90698 | <1% | 957 | $4K | |
| 90670 | <1% | 910 | $3K | |
| 90651 | <1% | 896 | $3K | |
| 99381 | <1% | 33 | $3K | |
| 90734 | <1% | 643 | $3K | |
| 90680 | <1% | 536 | $2K | |
| 99177 | <1% | 276 | $2K | |
| 90480 | <1% | 78 | $2K | |
| 96161 | <1% | 887 | $2K | |
| 90633 | <1% | 485 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 13 | $2K |
| 99382 | <1% | 13 | $2K | |
| 90715 | <1% | 278 | $1K | |
| 99080 | <1% | 50 | $1K | |
| 90744 | <1% | 398 | $1K | |
| 90656 | <1% | 195 | $1K | |
| 90710 | <1% | 295 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 53 | $1K |
| 0012A | <1% | 50 | $969.00 | |
| 90619 | <1% | 311 | $968.26 | |
| 0004A | <1% | 36 | $884.00 | |
| 90696 | <1% | 164 | $652.24 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 45 | $575.86 |
| 90677 | <1% | 154 | $449.58 | |
| 99072 | <1% | 11,065 | $371.34 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,370 | $336.00 |
| 90620 | <1% | 1,029 | $212.70 | |
| 91319 | <1% | 12 | $126.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 58 | $120.00 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 6,377 | $112.50 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 63 | $107.28 |
| 90697 | <1% | 60 | $99.26 | |
| G9920 | Screening performed and negative | <1% | 89 | $1.80 |
| 87070 | 0% | 670 | $0.00 | |
| 91307 | 0% | 483 | $0.00 | |
| 91300 | 0% | 775 | $0.00 | |
| 91312 | 0% | 16 | $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 officialPIZZICA, ALBERT (PRESIDENT/CHIEF MEDICAL OFFICER)