Physician
Pediatric Associates of Plymouth INC.
Pediatric Associates of Plymouth INC. was paid $617K by Medicaid between Sep 2018 and Sep 2023, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF PLYMOUTH INC.
PLYMOUTH MEETING, PA 19462
PLYMOUTH MEETING, PA 19462
33aNPI1477590263assigned 06/01/2006
33bProvider typePediatrics Physician
28Total paid$617K
24GClaims17,557
24DCodes billed29
24AFirst – last monthSep 2018 – Sep 2023
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#161 of 1,257
Median peer was paid$45K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2018 | 142 | $3K | |
| 2019 | 181 | $5K | |
| 2020 | 1,047 | $25K | |
| 2021 | 6,317 | $222K | |
| 2022 | 6,510 | $240K | |
| 2023 | 3,360 | $122K |
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 | 48% | 7,011 | 6,608 | $296K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 623 | 611 | $72K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 488 | 485 | $70K |
| 99499 | 8.7% | 1,836 | 1,777 | $54K | |
| 99080 | 6.5% | 2,022 | 1,966 | $40K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.5% | 325 | 312 | $34K |
| 90686 | 2.0% | 1,322 | 1,322 | $12K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 61 | 61 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 967 | 957 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 340 | 241 | $5K |
| 90698 | <1% | 387 | 386 | $3K | |
| 90670 | <1% | 450 | 449 | $3K |
17 more codes
| 90633 | <1% | 270 | $3K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 28 | $2K |
| 96127 | <1% | 473 | $2K | |
| 90680 | <1% | 249 | $2K | |
| 90734 | <1% | 77 | $1K | |
| 3008F | <1% | 98 | $960.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 48 | $883.32 |
| 90651 | <1% | 130 | $873.94 | |
| 90621 | <1% | 69 | $666.46 | |
| 90715 | <1% | 44 | $434.36 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $378.84 |
| 90744 | <1% | 26 | $198.52 | |
| 90696 | <1% | 12 | $170.16 | |
| 90710 | <1% | 12 | $170.16 | |
| 90697 | 0% | 43 | $0.00 | |
| 90619 | 0% | 73 | $0.00 | |
| 83655 | 0% | 61 | $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 officialEVANS, JOHN (MANAGING PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Carroll County Home Care Aide Service | Carroll, IA | $177K |
| Bethesda Farm | Allendale, MI | $115K |
| John Evans MD Ophthalmology INC | Portsmouth, OH | $47K |
| Alabama Dermatology and Skin Specialists, LLC | Huntsville, AL | $10K |
| Gtubes INC | Redlands, CA | $2K |
| John N. Evans, DPM, PC | Allen Park, MI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.