Physician
Small World Pediatrics LLC
Small World Pediatrics LLC was paid $2.56M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 43% of everything it billed.
33Billing provider infoSMALL WORLD PEDIATRICS LLC
PUEBLO, CO 81007
PUEBLO, CO 81007
33aNPI1619059722assigned 10/19/2006
33bProvider typePediatrics Physician
28Total paid$2.56M
24GClaims57,354
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#14 of 186
Median peer was paid$68K
This provider vs. median38×
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 | 6,773 | $293K | |
| 2019 | 9,189 | $385K | |
| 2020 | 7,227 | $296K | |
| 2021 | 8,260 | $355K | |
| 2022 | 8,510 | $409K | |
| 2023 | 9,924 | $469K | |
| 2024incomplete | 7,471 | $355K |
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 | 43% | 17,661 | 16,137 | $1.11M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 14% | 7,921 | 7,627 | $364K |
| 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 | 12% | 3,463 | 3,121 | $312K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 2,359 | 2,270 | $219K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 2,504 | 2,379 | $202K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 992 | 914 | $87K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.2% | 6,348 | 6,149 | $81K |
| 92551 | 1.2% | 2,927 | 2,694 | $31K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.2% | 1,602 | 1,581 | $31K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.1% | 308 | 277 | $27K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.0% | 276 | 244 | $26K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 573 | 461 | $17K |
25 more codes
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 207 | $10K |
| 90670 | <1% | 965 | $9K | |
| 90461 | <1% | 3,847 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 478 | $5K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 329 | $5K |
| 90686 | <1% | 2,307 | $5K | |
| 87634 | <1% | 45 | $3K | |
| 90677 | <1% | 148 | $2K | |
| 99461 | <1% | 55 | $2K | |
| 96127 | <1% | 194 | $2K | |
| 90671 | <1% | 68 | $2K | |
| 90697 | <1% | 103 | $2K | |
| 90680 | <1% | 304 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 84 | $1K |
| 90723 | <1% | 308 | $1K | |
| 90656 | <1% | 254 | $690.68 | |
| 90480 | <1% | 13 | $520.00 | |
| 90647 | <1% | 368 | $375.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 12 | $263.81 |
| 90633 | <1% | 83 | $255.48 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 16 | $155.48 |
| 99173 | <1% | 20 | $32.24 | |
| 94760 | <1% | 12 | $29.52 | |
| 90685 | 0% | 184 | $0.00 | |
| 91305 | 0% | 16 | $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 officialROOKS, TERRI (OFFICE MANAGER)
Parent organizationSMALL WORLD PEDIATRICS LLC