Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › DE › Dover › NPI 1467855254
Physician

Kids and Teens Pediatrics of Dover

Kids and Teens Pediatrics of Dover was paid $2.90M by Medicaid between Jan 2018 and Dec 2024, across 49 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoKIDS AND TEENS PEDIATRICS OF DOVER
DOVER, DE 19904
33aNPI1467855254assigned 10/07/2014
33bProvider typePediatrics Physician
28Total paid$2.90M
24GClaims111,034
24DCodes billed49
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Delaware

Rank by total paid#6 of 39
Median peer was paid$418K
This provider vs. median6.9×

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$25K$50K$75K2018201920202021202220232024
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
201820,054$180K
201924,645$466K
202012,530$459K
202120,003$584K
202217,749$595K
202312,077$450K
2024incomplete3,976$168K
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 36% 21,156 15,384 $1.04M
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 18% 7,566 5,826 $526K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9.1% 3,672 3,028 $264K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.0% 3,614 2,687 $231K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 6.6% 2,557 2,183 $192K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4.7% 4,890 3,831 $136K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.0% 1,448 1,252 $115K
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 2.1% 3,447 2,688 $60K
90686 1.5% 3,148 2,460 $43K
92551 1.4% 5,289 4,408 $42K
90648 1.1% 2,243 1,770 $31K
90670 1.0% 2,142 1,692 $30K
37 more codes
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 2,173 $27K
90723 <1% 1,613 $23K
90680 <1% 1,360 $19K
99203 Doctor's office visit, new patient (routine) <1% 291 $17K
90710 <1% 881 $14K
90633 <1% 927 $13K
90651 <1% 743 $11K
94760 <1% 8,616 $10K
90734 <1% 580 $9K
99173 <1% 4,429 $8K
96127 <1% 1,725 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 98 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,671 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 241 $5K
99383 <1% 62 $3K
90620 <1% 154 $3K
90696 <1% 168 $3K
90715 <1% 166 $2K
99384 <1% 29 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 234 $2K
81002 <1% 2,410 $1K
90700 <1% 60 $993.15
0072A <1% 26 $840.00
99215 Doctor's office visit, returning patient (complex) <1% 15 $608.80
90677 <1% 21 $575.57
99174 <1% 382 $559.78
90707 <1% 14 $286.91
90716 <1% 13 $264.84
90685 <1% 15 $154.49
86580 <1% 47 $33.42
91307 <1% 40 $0.12
3008F <1% 6,362 $0.01
90474 0% 273 $0.00
99000 0% 82 $0.00
90461 0% 4,541 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 0% 9,387 $0.00
91300 0% 13 $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 officialFUNDERBURK, ALEXANDER (ADMINISTRATIVE ASSISTANT)