Physician
Pediatric Group Specialists, LTD.
Pediatric Group Specialists, LTD. was paid $15.26M by Medicaid between Jan 2018 and Dec 2024, across 68 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPEDIATRIC GROUP SPECIALISTS, LTD.
PHOENIX, AZ 85053
PHOENIX, AZ 85053
33aNPI1639164833assigned 09/13/2005
33bProvider typePediatrics Physician
28Total paid$15.26M
24GClaims415,245
24DCodes billed68
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#3 of 235
Median peer was paid$164K
This provider vs. median93×
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 | 70,522 | $2.03M | |
| 2019 | 71,989 | $2.09M | |
| 2020 | 59,526 | $1.80M | |
| 2021 | 62,435 | $2.44M | |
| 2022 | 61,038 | $2.62M | |
| 2023 | 50,818 | $2.37M | |
| 2024incomplete | 38,917 | $1.91M |
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 | 29% | 85,591 | 80,506 | $4.45M |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 13% | 55,786 | 54,659 | $1.96M |
| 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 | 11% | 21,873 | 21,021 | $1.67M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.1% | 18,810 | 17,339 | $1.39M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.7% | 16,803 | 16,586 | $1.32M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 16,845 | 16,676 | $1.29M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.0% | 12,635 | 12,508 | $1.07M |
| 90461 | 4.8% | 23,477 | 22,364 | $733K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 30,591 | 29,415 | $405K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 11,871 | 11,220 | $345K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 7,372 | 7,110 | $272K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,956 | 3,754 | $62K |
56 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,100 | $49K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 382 | $36K |
| 0071A | <1% | 367 | $28K | |
| 99460 | <1% | 392 | $25K | |
| 0072A | <1% | 251 | $20K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,265 | $18K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 3,749 | $17K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 299 | $16K |
| 96127 | <1% | 3,447 | $14K | |
| 99000 | <1% | 16,707 | $13K | |
| 99188 | <1% | 675 | $7K | |
| 95117 | <1% | 796 | $6K | |
| 99381 | <1% | 63 | $6K | |
| 96160 | <1% | 1,974 | $5K | |
| 99383 | <1% | 47 | $4K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $4K |
| 99051 | <1% | 1,047 | $4K | |
| 0124A | <1% | 90 | $3K | |
| 92551 | <1% | 452 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 0001A | <1% | 28 | $2K | |
| 0002A | <1% | 27 | $2K | |
| 81002 | <1% | 495 | $1K | |
| 99173 | <1% | 1,383 | $1K | |
| 90670 | <1% | 9,115 | $1K | |
| 0154A | <1% | 15 | $1K | |
| 99174 | <1% | 218 | $983.01 | |
| 0081A | <1% | 12 | $913.00 | |
| 0074A | <1% | 12 | $900.00 | |
| 90686 | <1% | 17,485 | $795.79 | |
| 90698 | <1% | 6,418 | $677.26 | |
| 94664 | <1% | 51 | $610.20 | |
| 90680 | <1% | 4,883 | $500.85 | |
| 90700 | <1% | 3,555 | $363.50 | |
| 90716 | <1% | 3,297 | $356.01 | |
| 90707 | <1% | 3,114 | $355.58 | |
| 90633 | <1% | 3,327 | $310.95 | |
| 90671 | <1% | 1,117 | $298.46 | |
| 90480 | <1% | 14 | $273.00 | |
| 90744 | <1% | 3,125 | $251.34 | |
| 90619 | <1% | 541 | $244.44 | |
| 96380 | <1% | 13 | $225.57 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 14 | $211.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 20 | $181.20 |
| 90651 | <1% | 3,279 | $159.69 | |
| 90621 | <1% | 287 | $151.88 | |
| 90715 | <1% | 569 | $80.56 | |
| 90713 | <1% | 801 | $77.19 | |
| 90734 | <1% | 1,342 | $30.87 | |
| 90648 | <1% | 509 | $30.86 | |
| 94760 | <1% | 15 | $12.78 | |
| 90685 | <1% | 800 | $0.04 | |
| 99072 | 0% | 3,374 | $0.00 | |
| 91300 | 0% | 58 | $0.00 | |
| 90710 | 0% | 13 | $0.00 | |
| 36416 | 0% | 167 | $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 officialKLEINER, DAVID (CEO)