Physician
Ac Medical PLLC
Ac Medical PLLC was paid $36K by Medicaid between May 2023 and Oct 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 62% of everything it billed.
33Billing provider infoAC MEDICAL PLLC
MC KEES ROCKS, PA 15136
MC KEES ROCKS, PA 15136
33aNPI1689355265assigned 07/27/2023
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims1,639
24DCodes billed18
24AFirst – last monthMay 2023 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#667 of 1,257
Median peer was paid$45K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 374 | $8K | |
| 2024incomplete | 1,265 | $29K |
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 | 62% | 441 | 418 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 212 | 205 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.3% | 31 | 31 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 28 | 28 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 26 | 26 | $521.92 |
| 90619 | 1.4% | 19 | 19 | $513.98 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 44 | 44 | $273.47 |
| 92552 | <1% | 197 | 196 | $224.72 | |
| 87070 | <1% | 44 | 44 | $205.59 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 102 | 98 | $150.00 |
| 99173 | <1% | 205 | 203 | $51.12 | |
| 90461 | <1% | 45 | 45 | $20.00 |
6 more codes
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 officialCHEN, WAYNE (MANAAGER)