Physician
Drexel Hill Pediatric Associates
Drexel Hill Pediatric Associates was paid $1.86M by Medicaid between Aug 2018 and Oct 2024, across 53 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 20% of everything it billed.
33Billing provider infoDREXEL HILL PEDIATRIC ASSOCIATES
SPRINGFIELD, PA 19064
SPRINGFIELD, PA 19064
33aNPI1477680874assigned 02/27/2007
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.86M
24GClaims109,311
24DCodes billed53
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#3 of 44
Median peer was paid$39K
This provider vs. median48×
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 | 547 | $12K | |
| 2019 | 581 | $9K | |
| 2020 | 5,962 | $124K | |
| 2021 | 34,495 | $519K | |
| 2022 | 31,980 | $442K | |
| 2023 | 23,704 | $480K | |
| 2024incomplete | 12,042 | $273K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 10,878 | 10,680 | $373K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 16% | 2,982 | 2,955 | $304K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 2,656 | 2,643 | $282K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 2,206 | 2,178 | $201K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 1,907 | 1,863 | $187K |
| 92551 | 7.3% | 8,699 | 8,576 | $136K | |
| 90700 | 3.4% | 2,457 | 2,455 | $63K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.3% | 14,706 | 14,245 | $61K |
| 90461 | 3.1% | 3,450 | 3,431 | $57K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.6% | 2,221 | 2,178 | $29K |
| 90686 | 1.5% | 4,932 | 4,916 | $28K | |
| 99188 | 1.4% | 1,524 | 1,517 | $27K |
41 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,600 | $14K |
| 90713 | <1% | 1,837 | $9K | |
| 90648 | <1% | 1,705 | $8K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,320 | $7K |
| 90670 | <1% | 1,579 | $7K | |
| 99173 | <1% | 8,741 | $7K | |
| 90651 | <1% | 830 | $5K | |
| 90621 | <1% | 475 | $4K | |
| 0071A | <1% | 104 | $4K | |
| 90707 | <1% | 849 | $4K | |
| 90633 | <1% | 840 | $4K | |
| 90716 | <1% | 831 | $4K | |
| 90688 | <1% | 419 | $4K | |
| 90680 | <1% | 913 | $3K | |
| 0072A | <1% | 89 | $3K | |
| 90744 | <1% | 737 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 582 | $3K |
| 3008F | <1% | 830 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $2K |
| 90734 | <1% | 444 | $2K | |
| 90715 | <1% | 355 | $2K | |
| 96127 | <1% | 2,919 | $2K | |
| 90656 | <1% | 236 | $1K | |
| 90619 | <1% | 328 | $1K | |
| 90677 | <1% | 105 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 145 | $901.08 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 13 | $544.44 |
| 0082A | <1% | 13 | $520.00 | |
| 99000 | <1% | 2,339 | $260.10 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $193.50 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 221 | $190.13 |
| 96161 | <1% | 493 | $157.30 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | $130.00 |
| 99072 | <1% | 17,517 | $104.85 | |
| 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% | 15 | $76.20 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 43 | $28.07 |
| 87081 | <1% | 75 | $17.20 | |
| 99051 | <1% | 825 | $16.00 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 166 | $11.51 |
| 91307 | 0% | 39 | $0.00 | |
| 96160 | 0% | 45 | $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 officialMCCARTHY, MATTHEW (VICE PRESIDENT)