Physician
Pediatric Practices of Northeastern PA
Pediatric Practices of Northeastern PA was paid $49K by Medicaid between Jan 2018 and Jul 2019, across 6 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
33Billing provider infoPEDIATRIC PRACTICES OF NORTHEASTERN PA
HONESDALE, PA 18431
HONESDALE, PA 18431
33aNPI1730162678assigned 11/23/2005
33bProvider typePediatrics Physician
28Total paid$49K
24GClaims1,556
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#613 of 1,257
Median peer was paid$45K
This provider vs. median1.1×
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 | 1,340 | $37K | |
| 2019 | 216 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 76% | 1,144 | 788 | $37K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 113 | 73 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 7.4% | 58 | 46 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.7% | 125 | 81 | $852.63 |
| 90686 | 1.3% | 29 | 23 | $627.21 | |
| 99051 | 0% | 87 | 73 | $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 officialMORTON, ROBERT (PARTNER)
| Provider | Location | Paid |
|---|---|---|
| Robert O. Morton, M.D., PLLC | Stratford, OK | $3.55M |
| Usd 445 Coffeyville | Coffeyville, KS | $377K |
| Pediatric Practices of Northeastern PA | Lake Ariel, PA | $22K |
| Pediatric Practices of Northeastern PA | Waymart, PA | $9K |
| Pediatric Practices of Northeastern PA | Milford, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.