The Pediatric & Adolescent Center
The Pediatric & Adolescent Center was paid $2.94M by Medicaid between Jan 2018 and Dec 2024, across 70 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoTHE PEDIATRIC & ADOLESCENT CENTER
LEWES, DE 19958
LEWES, DE 19958
33aNPI1548344849assigned 10/24/2006
33bProvider typeSpecialist
28Total paid$2.94M
24GClaims103,293
24DCodes billed70
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Delaware
Rank by total paid#5 of 27
Median peer was paid$103K
This provider vs. median29×
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 | 16,433 | $17K | |
| 2019 | 20,230 | $218K | |
| 2020 | 14,987 | $621K | |
| 2021 | 12,841 | $612K | |
| 2022 | 13,737 | $556K | |
| 2023 | 16,232 | $579K | |
| 2024incomplete | 8,833 | $333K |
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 | 37% | 16,150 | 13,183 | $1.09M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 17,530 | 14,372 | $585K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.3% | 4,284 | 3,721 | $243K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 3,601 | 3,254 | $226K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.4% | 2,653 | 2,386 | $187K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 3,577 | 2,912 | $181K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 2.0% | 1,619 | 1,483 | $58K |
| 90686 | 1.8% | 3,761 | 3,273 | $53K | |
| 99051 | 1.4% | 4,309 | 3,752 | $41K | |
| 92551 | <1% | 3,653 | 3,319 | $26K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,455 | 2,019 | $25K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 942 | 455 | $25K |
58 more codes
| 90670 | <1% | 2,220 | $24K | |
| 90698 | <1% | 1,818 | $18K | |
| 90680 | <1% | 1,439 | $16K | |
| 90651 | <1% | 1,057 | $14K | |
| 90633 | <1% | 1,208 | $13K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,059 | $10K |
| 96127 | <1% | 2,776 | $10K | |
| 90744 | <1% | 803 | $8K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 82 | $7K |
| 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% | 700 | $7K |
| 99173 | <1% | 3,565 | $6K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 47 | $6K |
| 90734 | <1% | 513 | $6K | |
| 90697 | <1% | 380 | $6K | |
| 90619 | <1% | 315 | $5K | |
| 90672 | <1% | 203 | $4K | |
| 90715 | <1% | 330 | $4K | |
| 90621 | <1% | 232 | $3K | |
| 0001A | <1% | 71 | $3K | |
| 0071A | <1% | 96 | $3K | |
| 90677 | <1% | 125 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $2K |
| 90656 | <1% | 113 | $2K | |
| 0002A | <1% | 58 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 310 | $2K |
| 90671 | <1% | 183 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 98 | $2K |
| 90710 | <1% | 129 | $2K | |
| 0072A | <1% | 62 | $2K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 69 | $1K |
| 90696 | <1% | 106 | $1K | |
| 90716 | <1% | 162 | $1K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 143 | $1K |
| 99499 | <1% | 113 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,081 | $965.62 |
| 90707 | <1% | 104 | $711.09 | |
| 81003 | <1% | 1,298 | $516.83 | |
| 0004A | <1% | 14 | $400.00 | |
| 83655 | <1% | 12 | $107.12 | |
| 90685 | <1% | 368 | $66.21 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 12 | $33.33 |
| 81025 | <1% | 12 | $28.28 | |
| 97802 | <1% | 23 | $18.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 43 | $17.40 |
| 99174 | <1% | 37 | $6.14 | |
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 75 | $2.40 |
| 91307 | <1% | 183 | $0.51 | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 26 | $0.02 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | <1% | 25 | $0.02 |
| 3008F | 0% | 2,906 | $0.00 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 0% | 54 | $0.00 |
| 3074F | 0% | 16 | $0.00 | |
| 36416 | 0% | 12 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 11,483 | $0.00 |
| 90461 | 0% | 104 | $0.00 | |
| 91300 | 0% | 202 | $0.00 | |
| 96160 | 0% | 53 | $0.00 | |
| 3078F | 0% | 16 | $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 officialLUDWICKI, JOHN (OWNER)