Pediatric Health Services PC

Pediatric Health Services PC was paid $1.06M by Medicaid between Jan 2018 and Mar 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% 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
2018	4,681	$201K
2019	2,520	$209K
2020	1,859	$168K
2021	1,610	$147K
2022	1,718	$155K
2023	1,236	$140K
2024incomplete	250	$37K

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	54%	5,727	5,100	$566K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	3,440	3,160	$218K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	6.0%	680	632	$64K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.7%	623	600	$60K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.9%	557	539	$52K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	4.8%	547	504	$51K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	424	412	$10K
90461		<1%	129	128	$5K
90686		<1%	348	340	$5K
90670		<1%	200	187	$4K
S9999	Sales tax	<1%	562	508	$4K
90734		<1%	38	38	$3K

15 more codes

90621		<1%	26	$3K
90651		<1%	58	$3K
90716		<1%	17	$2K
90698		<1%	41	$2K
90655		<1%	115	$1K
90707		<1%	18	$1K
90633		<1%	63	$828.82
90696		<1%	12	$731.76
86403		<1%	61	$716.21
99174		<1%	54	$525.15
90710		<1%	58	$488.00
90715		<1%	12	$415.20
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	26	$374.59
90680		<1%	26	$48.90
90620		<1%	12	$1.10

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 officialSUMNER, LESLIE (VP)