Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Lancaster Pediatrics, PA

Lancaster Pediatrics, PA was paid $19K by Medicaid between Jan 2020 and Feb 2021, across 10 billing codes. Its largest line is 90686, — 20% of everything it billed.

33Billing provider infoLANCASTER PEDIATRICS, PA
ELLICOTT CITY, MD 21043
33aNPI1568612760assigned 09/24/2008
33bProvider typePediatrics Physician
28Total paid$19K
24GClaims1,041
24DCodes billed10
24AFirst – last monthJan 2020 – Feb 2021
Compared with peers

Next to other Pediatrics Physician providers in Maryland

Rank by total paid#216 of 306
Median peer was paid$206K
This provider vs. median0.1×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20201,028$18K
202113$302.64
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
90686 20% 209 158 $4K
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 18% 162 76 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 228 101 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 16% 226 149 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13% 27 24 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 7.6% 12 12 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.6% 28 14 $859.60
92552 1.8% 60 29 $330.20
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.7% 61 15 $315.84
99173 <1% 28 13 $13.00

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 officialLANCASTER, DUNIYA (OWNER)