Pediatric Rehabilitation Medicine Associates,llc

Pediatric Rehabilitation Medicine Associates,llc was paid $8K by Medicaid between Jul 2019 and Jul 2019, across 6 billing codes. Its largest line is J0475, Injection, baclofen, 10 mg — 69% of everything it billed.

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
2019	91	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0475	Injection, baclofen, 10 mg	69%	13	12	$6K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	9.2%	16	16	$765.13
62370		7.3%	13	12	$602.97
64642		6.9%	17	16	$575.25
64643		5.5%	17	16	$459.09
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.2%	15	14	$179.80

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 officialMOBERG-WOLFF, ELIZABETH (OWNER)