Pediatric Associates INC

Pediatric Associates INC was paid $347K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 92% of everything it billed.

33Billing provider infoPEDIATRIC ASSOCIATES INC
FORT WAYNE, IN 46804

33aNPI1659375079assigned 06/13/2005

33bProvider typePediatrics Physician

28Total paid$347K

24GClaims6,419

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Indiana

Rank by total paid#62 of 119

Median peer was paid$395K

This provider vs. median0.9×

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	1,093	$45K
2019	802	$33K
2020	420	$16K
2021	684	$40K
2022	1,051	$62K
2023	1,444	$84K
2024incomplete	925	$68K

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	92%	5,897	5,175	$319K
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	7.4%	392	326	$26K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	<1%	13	13	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	13	12	$1K
99238	Hospital discharge day management, 30 minutes or less	<1%	13	13	$810.71
96127		<1%	13	13	$48.00
85018		0%	12	12	$0.00
36416		0%	35	33	$0.00
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	0%	15	14	$0.00
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	0%	16	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 officialRUSK, DAVID (PRESIDENT)