Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lifeline Pediatrics INC

Lifeline Pediatrics INC was paid $396K by Medicaid between Jan 2018 and Mar 2020, across 22 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.

33Billing provider infoLIFELINE PEDIATRICS INC
NEW MARTINSVILLE, WV 26155
33aNPI1598896193assigned 03/08/2007
33bProvider typeSpecialist
28Total paid$396K
24GClaims9,890
24DCodes billed22
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers

Next to other Specialist providers in West Virginia

Rank by total paid#27 of 71
Median peer was paid$232K
This provider vs. median1.7×

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$20K$40K2018201920202021202220232024
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
20185,332$230K
20192,815$96K
20201,743$71K
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 37% 2,501 2,183 $146K
96110 Developmental screening, with scoring and documentation, per standardized instrument 12% 1,628 1,519 $48K
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 7.6% 348 321 $30K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5.9% 316 313 $23K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5.8% 355 317 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 5.4% 993 926 $22K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5.3% 379 340 $21K
92551 5.0% 675 658 $20K
90472 Immunization administration, each additional vaccine (list separately) 4.3% 623 582 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.8% 516 485 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3.0% 160 155 $12K
90670 <1% 297 274 $4K
10 more codes
90633 <1% 190 $4K
90648 <1% 194 $3K
90686 <1% 184 $2K
90474 <1% 129 $2K
90710 <1% 105 $2K
90680 <1% 131 $1K
90734 <1% 41 $1K
90723 <1% 89 $683.59
90685 <1% 24 $436.47
90715 <1% 12 $294.52

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 officialEKANEM, IBANGA (OWNER)