Pediatric Specialty Practices, PLLC

Pediatric Specialty Practices, PLLC was paid $3.64M by Medicaid between Sep 2019 and Dec 2024, across 99 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 26% of everything it billed.

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
2019	3,748	$140K
2020	12,797	$531K
2021	23,411	$834K
2022	22,069	$841K
2023	20,831	$659K
2024incomplete	22,337	$639K

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	26%	21,034	16,765	$962K
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	20%	10,694	8,324	$722K
87633	Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets	7.2%	1,009	863	$263K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.0%	4,139	3,589	$254K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.5%	3,393	3,207	$200K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.9%	1,871	1,707	$178K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.6%	2,690	2,381	$167K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.4%	2,678	2,469	$159K
87631		2.7%	1,221	1,067	$99K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	2.6%	1,083	909	$94K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.1%	1,257	1,191	$77K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	1,828	1,569	$48K

87 more codes

93303	Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study	1.1%	431	$40K
80061	Lipid panel	<1%	3,219	$23K
90670		<1%	1,987	$20K
92081		<1%	1,813	$17K
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	<1%	456	$15K
90680		<1%	1,466	$14K
90648		<1%	1,539	$13K
90686		<1%	1,492	$13K
87811	Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19)	<1%	595	$12K
98966		<1%	1,112	$11K
36416		<1%	4,625	$11K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	884	$11K
99443		<1%	210	$10K
90633		<1%	1,210	$10K
99460		<1%	152	$10K
93320		<1%	463	$10K
90723		<1%	1,000	$9K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	845	$9K
99239	Hospital discharge day management, more than 30 minutes	<1%	136	$9K
99442		<1%	285	$9K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	<1%	100	$8K
90472	Immunization administration, each additional vaccine (list separately)	<1%	498	$8K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	1,192	$7K
99174		<1%	3,396	$6K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	687	$6K
85018		<1%	4,853	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	724	$6K
99354		<1%	126	$6K
82962		<1%	2,829	$5K
83655		<1%	719	$5K
90688		<1%	583	$5K
90698		<1%	378	$4K
98967		<1%	436	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	509	$4K
93325		<1%	359	$4K
90651		<1%	498	$3K
81002		<1%	1,872	$3K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	65	$3K
90700		<1%	313	$3K
0001A		<1%	127	$3K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	353	$3K
90710		<1%	333	$2K
87428		<1%	76	$2K
92567		<1%	369	$2K
96127		<1%	730	$2K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)	<1%	97	$2K
90707		<1%	214	$2K
0002A		<1%	78	$2K
99383		<1%	29	$2K
99381		<1%	24	$2K
99205	Prolong outpt/office vis	<1%	13	$2K
90672		<1%	198	$2K
87807		<1%	411	$2K
90656		<1%	498	$2K
99382		<1%	18	$2K
87634		<1%	35	$2K
0072A		<1%	55	$2K
90716		<1%	135	$1K
99201		<1%	58	$1K
90461		<1%	162	$1K
0071A		<1%	41	$1K
90677		<1%	305	$1K
99072		<1%	1,721	$1K
99499		<1%	91	$959.74
90474		<1%	94	$830.96
90696		<1%	135	$825.11
90734		<1%	89	$721.94
99173		<1%	490	$634.71
90687		<1%	103	$508.21
90715		<1%	26	$318.79
94375		<1%	15	$261.03
90744		<1%	20	$251.28
90620		<1%	29	$184.92
99188		<1%	65	$159.00
94760		<1%	492	$142.14
90619		<1%	56	$121.87
93000		<1%	14	$58.45
94664		<1%	38	$32.46
96161		<1%	179	$25.65
94761		<1%	44	$17.15
96160		<1%	55	$12.34
J1100	Injection, dexamethasone sodium phosphate, 1 mg	<1%	37	$2.48
99000		0%	13	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	31	$0.00
87581		0%	14	$0.00
87798	Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism	0%	14	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	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 officialAHMAD, NAUMAN (MANAGING DIRECTOR)