Physician
Warren Pediatric Associates
Warren Pediatric Associates was paid $114K by Medicaid between Jan 2018 and Aug 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 72% of everything it billed.
33Billing provider infoWARREN PEDIATRIC ASSOCIATES
WARREN, PA 16365
WARREN, PA 16365
33aNPI1578665428assigned 09/02/2006
33bProvider typePediatrics Physician
28Total paid$114K
24GClaims3,750
24DCodes billed18
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#463 of 1,257
Median peer was paid$45K
This provider vs. median2.5×
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 | 106 | $5K | |
| 2019 | 131 | $5K | |
| 2020 | 245 | $7K | |
| 2021 | 1,537 | $44K | |
| 2022 | 1,166 | $35K | |
| 2023 | 565 | $19K |
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 | 72% | 2,231 | 2,023 | $82K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.4% | 104 | 104 | $10K |
| 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 | 5.3% | 123 | 119 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.8% | 52 | 52 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 27 | 27 | $2K |
| 92551 | 2.0% | 426 | 420 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.0% | 25 | 25 | $2K |
| 90686 | <1% | 74 | 71 | $1K | |
| 99173 | <1% | 287 | 283 | $940.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 42 | 39 | $933.20 |
| 90670 | <1% | 129 | 128 | $811.00 | |
| 90698 | <1% | 66 | 63 | $649.00 |
6 more codes
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 officialMCCONNELL, DAVID (MANAGING PARTNER)