Physician
Pediatric and Adolescent Care Associates, PC
Pediatric and Adolescent Care Associates, PC was paid $1.14M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.
33Billing provider infoPEDIATRIC AND ADOLESCENT CARE ASSOCIATES, PC
STERLING HEIGHTS, MI 48314
STERLING HEIGHTS, MI 48314
33aNPI1689012601assigned 06/12/2013
33bProvider typePediatrics Physician
28Total paid$1.14M
24GClaims32,846
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#108 of 349
Median peer was paid$321K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 2,691 | $83K | |
| 2019 | 3,575 | $113K | |
| 2020 | 4,056 | $121K | |
| 2021 | 5,634 | $190K | |
| 2022 | 6,203 | $217K | |
| 2023 | 6,968 | $271K | |
| 2024incomplete | 3,719 | $145K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 4,022 | 3,673 | $393K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 5,713 | 5,057 | $386K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.2% | 1,278 | 1,278 | $105K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.7% | 3,257 | 3,160 | $65K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.0% | 678 | 678 | $58K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.2% | 507 | 500 | $36K |
| 92587 | 1.6% | 1,801 | 1,801 | $19K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 1,340 | 1,299 | $19K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.4% | 1,719 | 1,714 | $16K |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 466 | 463 | $10K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 501 | 269 | $8K |
| 97802 | <1% | 2,137 | 2,135 | $7K |
21 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 75 | $7K |
| 96127 | <1% | 1,406 | $4K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 91 | $4K |
| 99401 | <1% | 106 | $992.00 | |
| 36416 | <1% | 170 | $770.20 | |
| 85018 | <1% | 357 | $764.65 | |
| 0071A | <1% | 14 | $536.35 | |
| 97804 | <1% | 110 | $338.06 | |
| 81003 | <1% | 118 | $160.87 | |
| 90686 | <1% | 753 | $141.32 | |
| 99173 | 0% | 1,189 | $0.00 | |
| 90707 | 0% | 49 | $0.00 | |
| 90670 | 0% | 145 | $0.00 | |
| 90700 | 0% | 12 | $0.00 | |
| 90685 | 0% | 16 | $0.00 | |
| 90633 | 0% | 42 | $0.00 | |
| 3008F | 0% | 2,231 | $0.00 | |
| S9451 | Exercise classes, non-physician provider, per session | 0% | 2,487 | $0.00 |
| 90716 | 0% | 32 | $0.00 | |
| 90698 | 0% | 12 | $0.00 | |
| 90656 | 0% | 12 | $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 officialSUNDARAM, SHOBANA (OWNER)