Physician
Pediatric Care Center LLC
Pediatric Care Center LLC was paid $1.68M by Medicaid between Dec 2020 and Nov 2024, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPEDIATRIC CARE CENTER LLC
CHRISTIANSTED, VI 00820
CHRISTIANSTED, VI 00820
33aNPI1619186087assigned 05/22/2007
33bProvider typePediatrics Physician
28Total paid$1.68M
24GClaims31,554
24DCodes billed28
24AFirst – last monthDec 2020 – Nov 2024
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 | |
|---|---|---|---|
| 2020 | 13 | $475.20 | |
| 2021 | 4,571 | $269K | |
| 2022 | 10,171 | $538K | |
| 2023 | 9,573 | $528K | |
| 2024incomplete | 7,226 | $345K |
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 | 39% | 7,699 | 6,668 | $653K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 15% | 2,148 | 1,986 | $247K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,650 | 1,591 | $185K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.9% | 3,345 | 3,225 | $132K |
| 90461 | 6.5% | 2,165 | 2,097 | $110K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 5.1% | 3,910 | 3,756 | $85K |
| 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 | 5.0% | 698 | 613 | $83K |
| 99177 | 3.5% | 4,432 | 4,073 | $59K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 492 | 362 | $52K |
| 92551 | 2.3% | 1,517 | 1,328 | $39K | |
| 96127 | <1% | 809 | 633 | $14K | |
| 96161 | <1% | 537 | 465 | $10K |
16 more codes
| 99381 | <1% | 27 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $3K |
| 99382 | <1% | 20 | $3K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 27 | $413.75 |
| 90677 | 0% | 193 | $0.00 | |
| 90647 | 0% | 323 | $0.00 | |
| 90698 | 0% | 111 | $0.00 | |
| 99050 | 0% | 46 | $0.00 | |
| 90723 | 0% | 28 | $0.00 | |
| 90744 | 0% | 14 | $0.00 | |
| 90710 | 0% | 52 | $0.00 | |
| 90670 | 0% | 1,045 | $0.00 | |
| 90633 | 0% | 186 | $0.00 | |
| 90700 | 0% | 27 | $0.00 | |
| 90713 | 0% | 13 | $0.00 | |
| 90681 | 0% | 13 | $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 officialRICKETTS, SHARON (PRACTICE COORDIATOR)