Physician
Heritage Valley Pediatrics, INC.
Heritage Valley Pediatrics, INC. was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoHERITAGE VALLEY PEDIATRICS, INC.
BEAVER, PA 15009
BEAVER, PA 15009
33aNPI1689621401assigned 05/27/2006
33bProvider typePediatrics Physician
28Total paid$1.24M
24GClaims46,223
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#85 of 1,257
Median peer was paid$45K
This provider vs. median27×
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 | 2,223 | $77K | |
| 2019 | 1,675 | $65K | |
| 2020 | 2,492 | $82K | |
| 2021 | 9,587 | $331K | |
| 2022 | 9,110 | $258K | |
| 2023 | 10,174 | $175K | |
| 2024incomplete | 10,962 | $249K |
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 | 31% | 10,503 | 9,907 | $378K |
| 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 | 28% | 6,167 | 5,730 | $340K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,699 | 1,630 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,802 | 1,720 | $133K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 1,196 | 1,133 | $94K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.6% | 714 | 665 | $57K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.5% | 1,029 | 773 | $18K |
| 90686 | <1% | 1,885 | 1,852 | $11K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 193 | 191 | $8K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,046 | 1,972 | $8K |
| 90651 | <1% | 1,036 | 1,006 | $6K | |
| 90734 | <1% | 1,029 | 991 | $6K |
34 more codes
| 90670 | <1% | 1,359 | $5K | |
| 90647 | <1% | 1,488 | $4K | |
| 90723 | <1% | 1,458 | $4K | |
| 90633 | <1% | 1,015 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 266 | $3K |
| 90620 | <1% | 682 | $2K | |
| 90681 | <1% | 841 | $2K | |
| 92551 | <1% | 1,628 | $2K | |
| 90710 | <1% | 881 | $2K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 643 | $2K |
| 99051 | <1% | 116 | $2K | |
| 90715 | <1% | 332 | $1K | |
| 96127 | <1% | 669 | $1K | |
| 99188 | <1% | 94 | $614.74 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 260 | $385.84 |
| 90461 | <1% | 19 | $384.41 | |
| 96160 | <1% | 482 | $350.96 | |
| 99173 | <1% | 1,293 | $337.83 | |
| 90700 | <1% | 93 | $308.00 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 12 | $214.50 |
| 96161 | <1% | 371 | $176.56 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 59 | $109.46 |
| 94760 | <1% | 288 | $65.88 | |
| 83655 | <1% | 55 | $64.58 | |
| 99499 | <1% | 52 | $50.00 | |
| 85018 | <1% | 42 | $26.41 | |
| G9920 | Screening performed and negative | 0% | 1,317 | $0.00 |
| 80061 | Lipid panel | 0% | 28 | $0.00 |
| G9919 | Screening performed and positive and provision of recommendations | 0% | 46 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 214 | $0.00 |
| 90677 | 0% | 529 | $0.00 | |
| 90656 | 0% | 255 | $0.00 | |
| 96380 | 0% | 12 | $0.00 | |
| 90696 | 0% | 25 | $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 officialMITRY, NORMAN (PRESIDENT AND CEO)
| Provider | Location | Paid |
|---|---|---|
| Heritage Valley Multispecialty Group, INC. | Beaver, PA | $1.11M |
| Valley Medical Facilities, INC. | Beaver Falls, PA | $283K |
| Heritage Valley Multispecialty Group, INC. | Beaver Falls, PA | $69K |
| Tri State Obstetrics & Gynecology | Beaver Falls, PA | $44K |
| Heritage Valley Multispecialty Group, INC | Beaver, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.