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

After Hours Pediatrics PC

After Hours Pediatrics PC was paid $33.87M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoAFTER HOURS PEDIATRICS PC
ALBUQUERQUE, NM 87111
33aNPI1588730360assigned 11/25/2006
33bProvider typePediatrics Physician
28Total paid$33.87M
24GClaims717,930
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in New Mexico

Rank by total paid#2 of 53
Median peer was paid$535K
This provider vs. median63×

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$250K$500K$750K2018201920202021202220232024
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
2018120,903$4.34M
2019114,813$4.63M
202083,607$3.59M
202197,971$4.48M
2022102,705$4.75M
2023105,054$5.77M
2024incomplete92,877$6.30M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 44% 208,163 203,413 $14.74M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.5% 27,385 27,274 $2.89M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.3% 26,480 26,298 $2.81M
90461 6.9% 38,546 38,401 $2.34M
90460 Immunization administration through 18 years of age via any route, first or only component 5.9% 57,090 56,862 $2.00M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.4% 17,165 17,111 $1.82M
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 5.2% 15,652 15,366 $1.76M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.1% 7,007 6,972 $708K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.6% 5,325 5,307 $559K
99051 1.3% 57,543 56,816 $433K
99173 1.2% 14,026 13,947 $418K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.2% 9,045 8,932 $400K
62 more codes
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1.0% 8,969 $339K
99442 <1% 2,991 $315K
99177 <1% 8,450 $310K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 17,392 $283K
92551 <1% 21,260 $251K
99441 <1% 3,962 $227K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 11,461 $219K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,893 $193K
99080 <1% 28,853 $191K
99381 <1% 711 $125K
S9999 Sales tax <1% 17,802 $119K
99215 Doctor's office visit, returning patient (complex) <1% 437 $91K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 1,234 $81K
90837 Psychotherapy session, about an hour <1% 745 $73K
90472 Immunization administration, each additional vaccine (list separately) <1% 1,911 $61K
0072A <1% 378 $14K
0071A <1% 364 $14K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 912 $14K
96161 <1% 2,598 $12K
90480 <1% 335 $12K
83655 <1% 499 $7K
99443 <1% 46 $6K
0081A <1% 160 $6K
0082A <1% 143 $6K
0002A <1% 120 $5K
0001A <1% 103 $4K
99383 <1% 25 $4K
81002 <1% 1,532 $3K
85018 <1% 1,043 $3K
0083A <1% 47 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 130 $2K
0074A <1% 45 $2K
90651 <1% 2,903 $1K
96380 <1% 102 $962.25
90670 <1% 15,219 $867.19
90723 <1% 12,834 $546.86
0173A <1% 13 $494.00
99188 <1% 25 $480.34
96127 <1% 62 $456.57
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 13 $271.77
90686 <1% 20,971 $221.87
90647 <1% 12,333 $124.25
90710 <1% 5,280 $108.46
90633 <1% 6,612 $97.21
90680 <1% 9,503 $88.05
90619 <1% 776 $56.13
90734 <1% 948 $55.73
90696 <1% 763 $38.63
90715 <1% 850 $38.45
36416 <1% 40 $6.75
90656 <1% 1,342 $6.17
90700 <1% 190 $0.92
90660 <1% 80 $0.62
90681 <1% 30 $0.29
90716 <1% 13 $0.06
90697 0% 509 $0.00
91307 0% 916 $0.00
90677 0% 2,545 $0.00
90671 0% 2,121 $0.00
91300 0% 337 $0.00
91308 0% 366 $0.00
91321 0% 256 $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 officialHAWK, WILLIAM (PRESIDENT, CEO)