Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

MT. Airy Pediatrics, P.C.

MT. Airy Pediatrics, P.C. was paid $513K by Medicaid between Oct 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.

33Billing provider infoMT. AIRY PEDIATRICS, P.C.
PHILADELPHIA, PA 19119
33aNPI1730516659assigned 10/09/2013
33bProvider typePediatrics Physician
28Total paid$513K
24GClaims14,413
24DCodes billed46
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Pennsylvania

Rank by total paid#188 of 1,257
Median peer was paid$45K
This provider vs. median11×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201813$140.00
201929$376.76
2020274$10K
20212,438$97K
20223,562$136K
20232,885$132K
2024incomplete5,212$138K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 2,127 1,946 $104K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 16% 805 735 $83K
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 12% 866 800 $61K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 11% 576 533 $56K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 10% 503 483 $53K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.0% 399 375 $41K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 6.3% 273 263 $32K
90460 Immunization administration through 18 years of age via any route, first or only component 2.6% 1,488 952 $13K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.5% 242 230 $8K
90686 1.2% 652 639 $6K
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) 1.1% 545 476 $6K
99188 1.0% 273 250 $5K
34 more codes
99177 <1% 340 $4K
96160 <1% 1,539 $4K
99174 <1% 490 $4K
90480 <1% 220 $3K
90672 <1% 260 $3K
0002A <1% 70 $3K
0071A <1% 69 $3K
0072A <1% 67 $3K
96127 <1% 613 $2K
0001A <1% 58 $2K
92551 <1% 222 $2K
90461 <1% 289 $2K
0124A <1% 38 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 136 $1K
91319 <1% 28 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 133 $1K
90472 Immunization administration, each additional vaccine (list separately) <1% 62 $718.84
91318 <1% 16 $672.00
90671 <1% 42 $563.02
0081A <1% 14 $520.00
0154A <1% 18 $480.00
90670 <1% 140 $397.04
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 14 $396.40
99173 <1% 150 $374.55
91320 <1% 16 $280.00
90698 <1% 100 $269.42
90734 <1% 13 $184.34
96161 <1% 76 $145.18
36415 Collection of venous blood by venipuncture 0% 255 $0.00
90680 0% 45 $0.00
90660 0% 70 $0.00
90656 0% 25 $0.00
36416 0% 14 $0.00
91321 0% 22 $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 officialLOUIS JADOTTE, JENNIFER (PRACTICE MANAGER)