Physician
Pediatric Practices of Northeastern PA
Pediatric Practices of Northeastern PA was paid $9K by Medicaid between Mar 2018 and Apr 2019, across 2 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
33Billing provider infoPEDIATRIC PRACTICES OF NORTHEASTERN PA
WAYMART, PA 18472
WAYMART, PA 18472
33aNPI1578895538assigned 02/02/2010
33bProvider typePediatrics Physician
28Total paid$9K
24GClaims278
24DCodes billed2
24AFirst – last monthMar 2018 – Apr 2019
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#887 of 1,257
Median peer was paid$45K
This provider vs. median0.2×
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 | 227 | $6K | |
| 2019 | 51 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 264 | 178 | $8K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 14 | 12 | $480.26 |
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 officialMORTON, ROBERT (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Robert O. Morton, M.D., PLLC | Stratford, OK | $3.55M |
| Usd 445 Coffeyville | Coffeyville, KS | $377K |
| Pediatric Practices of Northeastern PA | Honesdale, PA | $49K |
| Pediatric Practices of Northeastern PA | Lake Ariel, PA | $22K |
| Pediatric Practices of Northeastern PA | Milford, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.