Physician
Pediatric Associates, PA
Pediatric Associates, PA was paid $1.31M by Medicaid between Jan 2018 and Jun 2022, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES, PA
ALBUQUERQUE, NM 87106
ALBUQUERQUE, NM 87106
33aNPI1578640371assigned 11/01/2006
33bProvider typePediatrics Physician
28Total paid$1.31M
24GClaims28,058
24DCodes billed29
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in New Mexico
Rank by total paid#23 of 53
Median peer was paid$535K
This provider vs. median2.4×
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 | 6,893 | $300K | |
| 2019 | 7,387 | $329K | |
| 2020 | 5,959 | $279K | |
| 2021 | 5,972 | $290K | |
| 2022 | 1,847 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 37% | 8,086 | 7,567 | $483K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 4,309 | 4,283 | $211K |
| 90461 | 13% | 2,522 | 2,506 | $170K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.1% | 1,034 | 1,032 | $106K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.4% | 832 | 830 | $83K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.3% | 682 | 676 | $69K |
| 99173 | 3.5% | 2,641 | 2,636 | $46K | |
| 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 | 3.0% | 438 | 425 | $39K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 355 | 355 | $35K |
| 90686 | 1.3% | 1,362 | 1,362 | $17K | |
| 87430 | 1.2% | 1,006 | 991 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.1% | 675 | 675 | $14K |
17 more codes
| 99080 | <1% | 1,192 | $6K | |
| 96127 | <1% | 787 | $4K | |
| 90685 | <1% | 262 | $3K | |
| 90688 | <1% | 141 | $2K | |
| 81002 | <1% | 674 | $2K | |
| 0072A | <1% | 24 | $960.00 | |
| 0071A | <1% | 18 | $720.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $392.88 |
| 90651 | <1% | 67 | $60.10 | |
| 90670 | <1% | 510 | $1.70 | |
| 90698 | <1% | 152 | $0.56 | |
| 90680 | <1% | 93 | $0.34 | |
| 90648 | <1% | 80 | $0.26 | |
| 90723 | <1% | 14 | $0.08 | |
| 90734 | <1% | 36 | $0.07 | |
| 90633 | <1% | 12 | $0.04 | |
| 91307 | <1% | 30 | $0.03 |
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 officialSEELINGER, GRETCHEN (OWNER)