Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1477935716assigned 06/23/2015
28Total paid$1.79M
24GClaims35,850
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20186,331$306K
20195,714$270K
20204,485$233K
20215,409$230K
20225,041$267K
20234,647$248K
2024incomplete4,223$235K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)