Physician
Pendleton Pediatrics PC
Pendleton Pediatrics PC was paid $720K by Medicaid between Jan 2018 and Jun 2022, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.
33Billing provider infoPENDLETON PEDIATRICS PC
CHANDLER, AZ 85248
CHANDLER, AZ 85248
33aNPI1699973750assigned 07/10/2007
33bProvider typePediatrics Physician
28Total paid$720K
24GClaims17,786
24DCodes billed28
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#73 of 235
Median peer was paid$164K
This provider vs. median4.4×
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 | 972 | $41K | |
| 2019 | 7,186 | $214K | |
| 2020 | 3,893 | $156K | |
| 2021 | 3,965 | $206K | |
| 2022 | 1,770 | $102K |
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 | 41% | 4,323 | 4,016 | $299K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 2,670 | 2,500 | $122K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 16% | 3,536 | 3,394 | $116K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 996 | 954 | $74K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 647 | 629 | $46K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.1% | 369 | 367 | $30K |
| 90461 | 2.0% | 477 | 461 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 338 | 333 | $5K |
| 83655 | <1% | 487 | 470 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 302 | 278 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 28 | 27 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 104 | 102 | $2K |
16 more codes
| 94760 | <1% | 995 | $1K | |
| 96127 | <1% | 61 | $222.82 | |
| 36416 | <1% | 691 | $170.46 | |
| 90686 | <1% | 629 | $119.49 | |
| 98968 | <1% | 154 | $33.61 | |
| T1016 | Case management, each 15 minutes | <1% | 335 | $20.47 |
| 99490 | Ccm add 20min | <1% | 82 | $13.05 |
| 99072 | 0% | 82 | $0.00 | |
| 90670 | 0% | 217 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 90707 | 0% | 18 | $0.00 | |
| 90698 | 0% | 99 | $0.00 | |
| 90680 | 0% | 54 | $0.00 | |
| 98967 | 0% | 26 | $0.00 | |
| 90716 | 0% | 17 | $0.00 | |
| 90688 | 0% | 34 | $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 officialMALDONADO, VICKI (BILLING ADMINISTRATOR)