Starlight Pediatric Primary Care PLLC

Starlight Pediatric Primary Care PLLC was paid $249K by Medicaid between May 2022 and Dec 2024, across 17 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 27% of everything it billed.

33Billing provider infoSTARLIGHT PEDIATRIC PRIMARY CARE PLLC
CASA GRANDE, AZ 85122

33aNPI1649825282assigned 08/08/2019

33bProvider typePediatrics Physician

28Total paid$249K

24GClaims6,405

24DCodes billed17

24AFirst – last monthMay 2022 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Arizona

Rank by total paid#104 of 235

Median peer was paid$164K

This provider vs. median1.5×

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
2022	814	$28K
2023	2,387	$88K
2024incomplete	3,204	$133K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90460	Immunization administration through 18 years of age via any route, first or only component	27%	1,340	1,303	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	25%	1,096	1,042	$63K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	22%	682	671	$55K
96110	Developmental screening, with scoring and documentation, per standardized instrument	16%	1,353	1,329	$39K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.2%	184	182	$15K
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	1.1%	36	33	$3K
90461		<1%	85	75	$2K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	50	49	$2K
92558		<1%	121	113	$1K
92551		<1%	258	235	$1K
90677		<1%	138	122	$748.64
99000		<1%	476	389	$619.02

5 more codes

99173	<1%	330	$358.16
90697	<1%	102	$278.88
96127	<1%	43	$162.32
90686	<1%	96	$31.16
90656	0%	15	$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 officialATOLAGBE, ADEBAYO (PARTNER)

Same official

Other billing entities under ATOLAGBE, ADEBAYO

Full network →

Provider	Location	Paid
Starlight Pediatrics Urgent Care, PLLC	Casa Grande, AZ	$2.36M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.