Physician
Pediatric Care Group, P.C.
Pediatric Care Group, P.C. was paid $3.27M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoPEDIATRIC CARE GROUP, P.C.
JENKINTOWN, PA 19046
JENKINTOWN, PA 19046
33aNPI1760451421assigned 03/15/2006
33bProvider typePediatrics Physician
28Total paid$3.27M
24GClaims96,139
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#22 of 1,257
Median peer was paid$45K
This provider vs. median72×
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 | 551 | $32K | |
| 2019 | 1,448 | $76K | |
| 2020 | 2,555 | $81K | |
| 2021 | 17,591 | $408K | |
| 2022 | 28,679 | $776K | |
| 2023 | 21,012 | $936K | |
| 2024incomplete | 24,303 | $965K |
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 | 19% | 12,597 | 11,826 | $622K |
| 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 | 18% | 8,430 | 7,809 | $589K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 4,648 | 4,505 | $564K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 2,919 | 2,853 | $316K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 9.5% | 2,476 | 2,259 | $312K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 2,954 | 2,842 | $290K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.5% | 1,630 | 1,570 | $148K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.5% | 3,550 | 3,416 | $82K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 7,050 | 6,678 | $68K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 520 | 495 | $49K |
| 92552 | 1.4% | 2,751 | 2,499 | $47K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,527 | 2,166 | $31K |
57 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,017 | $20K |
| S9451 | Exercise classes, non-physician provider, per session | <1% | 221 | $14K |
| 90688 | <1% | 1,547 | $11K | |
| 99381 | <1% | 101 | $10K | |
| 90461 | <1% | 1,124 | $8K | |
| 90686 | <1% | 1,010 | $7K | |
| 90670 | <1% | 1,297 | $6K | |
| 90680 | <1% | 1,091 | $6K | |
| 96127 | <1% | 1,611 | $6K | |
| 99173 | <1% | 3,159 | $6K | |
| 90633 | <1% | 1,047 | $5K | |
| S9470 | Nutritional counseling, dietitian visit | <1% | 419 | $5K |
| 99080 | <1% | 315 | $4K | |
| 99188 | <1% | 208 | $4K | |
| 0002A | <1% | 108 | $4K | |
| 90671 | <1% | 487 | $4K | |
| 90698 | <1% | 552 | $4K | |
| 90658 | <1% | 328 | $3K | |
| 90697 | <1% | 754 | $3K | |
| 90744 | <1% | 398 | $3K | |
| 90700 | <1% | 407 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $2K |
| 90677 | <1% | 238 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 218 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $1K |
| 0001A | <1% | 126 | $1K | |
| 94664 | <1% | 53 | $1K | |
| 90651 | <1% | 171 | $950.06 | |
| 90619 | <1% | 83 | $829.29 | |
| 99000 | <1% | 3,648 | $763.56 | |
| 90480 | <1% | 64 | $747.20 | |
| 90648 | <1% | 167 | $709.00 | |
| 99072 | <1% | 13,510 | $679.85 | |
| 90713 | <1% | 40 | $496.30 | |
| 90710 | <1% | 132 | $439.58 | |
| 96160 | <1% | 590 | $407.13 | |
| 90707 | <1% | 148 | $354.50 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 84 | $296.53 |
| 90716 | <1% | 172 | $269.42 | |
| 91320 | <1% | 14 | $242.77 | |
| 90734 | <1% | 54 | $226.88 | |
| 99499 | <1% | 13 | $223.00 | |
| 90715 | <1% | 45 | $195.78 | |
| 99177 | <1% | 13 | $187.50 | |
| 99401 | <1% | 18 | $146.50 | |
| 96161 | <1% | 128 | $121.62 | |
| 90696 | <1% | 70 | $113.44 | |
| 0071A | <1% | 239 | $40.00 | |
| 83655 | <1% | 996 | $10.00 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 307 | $0.00 |
| 80061 | Lipid panel | 0% | 307 | $0.00 |
| 90685 | 0% | 46 | $0.00 | |
| 0003A | 0% | 115 | $0.00 | |
| 85013 | 0% | 535 | $0.00 | |
| 0072A | 0% | 229 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 1,312 | $0.00 |
| 85018 | 0% | 918 | $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 officialMUNDELL, MARYLEE (MANAGING PHYSICIAN)