Clinic
Fairmount Pediatrics and Adolescent Medicine
Fairmount Pediatrics and Adolescent Medicine was paid $315.00 by Medicaid between Oct 2018 and Oct 2018, across 1 billing code. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 100% of everything it billed.
33Billing provider infoFAIRMOUNT PEDIATRICS AND ADOLESCENT MEDICINE
PHILA, PA 19130
PHILA, PA 19130
33aNPI1487987020assigned 09/15/2009
33bProvider typePrimary Care Clinic/Center
28Total paid$315.00
24GClaims17
24DCodes billed1
24AFirst – last monthOct 2018 – Oct 2018
Compared with peers
Next to other Primary Care Clinic/Center providers in Pennsylvania
Rank by total paid#40 of 43
Median peer was paid$55K
This provider vs. median0.0×
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 | 17 | $315.00 |
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 | 100% | 17 | 14 | $315.00 |
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 officialLIEBERMAN, ALEXIS (MEMBER MANAGER)