Physician
Upper Valley Pediatrics, PLLC
Upper Valley Pediatrics, PLLC was paid $1.79M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoUPPER VALLEY PEDIATRICS, PLLC
BRADFORD, VT 05033
BRADFORD, VT 05033
33aNPI1477935716assigned 06/23/2015
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.79M
24GClaims35,850
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
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 | 6,331 | $306K | |
| 2019 | 5,714 | $270K | |
| 2020 | 4,485 | $233K | |
| 2021 | 5,409 | $230K | |
| 2022 | 5,041 | $267K | |
| 2023 | 4,647 | $248K | |
| 2024incomplete | 4,223 | $235K |
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% | 7,528 | 6,730 | $728K |
| 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% | 9,735 | 8,840 | $648K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.3% | 1,020 | 411 | $77K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.8% | 5,132 | 4,119 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 842 | 705 | $65K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 412 | 399 | $41K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.1% | 1,299 | 1,052 | $38K |
| 90461 | 1.4% | 745 | 677 | $26K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.2% | 265 | 241 | $22K |
| 96127 | <1% | 3,928 | 3,579 | $15K | |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | <1% | 334 | 324 | $11K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 199 | 189 | $10K |
38 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 61 | $8K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 144 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 220 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 40 | $3K |
| 90674 | <1% | 120 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 256 | $2K |
| 0071A | <1% | 97 | $2K | |
| 90480 | <1% | 63 | $2K | |
| 0072A | <1% | 64 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 138 | $2K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 68 | $2K |
| 97802 | <1% | 35 | $1K | |
| 0124A | <1% | 20 | $760.00 | |
| 36410 | <1% | 66 | $733.77 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 16 | $589.01 |
| 0001A | <1% | 57 | $440.00 | |
| 99173 | <1% | 143 | $331.20 | |
| 90473 | <1% | 27 | $321.20 | |
| 0002A | <1% | 30 | $280.00 | |
| 99188 | <1% | 14 | $229.50 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $83.31 |
| 94760 | <1% | 16 | $36.00 | |
| 99000 | <1% | 216 | $9.00 | |
| 91307 | <1% | 191 | $0.02 | |
| 91300 | 0% | 94 | $0.00 | |
| 90685 | 0% | 41 | $0.00 | |
| 91312 | 0% | 20 | $0.00 | |
| 90661 | 0% | 167 | $0.00 | |
| 99051 | 0% | 94 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90672 | 0% | 27 | $0.00 | |
| 91320 | 0% | 16 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 90686 | 0% | 1,361 | $0.00 | |
| 90688 | 0% | 344 | $0.00 | |
| 90656 | 0% | 57 | $0.00 | |
| 90651 | 0% | 13 | $0.00 | |
| 91319 | 0% | 37 | $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 officialYUKICA, REBECCA (D.O./PRACTICE OWNER)