Physician
Philadelphia Health Associates-Pediatrics, PC
Philadelphia Health Associates-Pediatrics, PC was paid $1.02M by Medicaid between Oct 2018 and Nov 2024, across 41 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 19% of everything it billed.
33Billing provider infoPHILADELPHIA HEALTH ASSOCIATES-PEDIATRICS, PC
BALA CYNWYD, PA 19004
BALA CYNWYD, PA 19004
33aNPI1770547499assigned 04/12/2006
33bProvider typePediatrics Physician
28Total paid$1.02M
24GClaims23,615
24DCodes billed41
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#100 of 1,257
Median peer was paid$45K
This provider vs. median22×
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 | 12 | $221.16 | |
| 2020 | 1,914 | $74K | |
| 2021 | 6,643 | $261K | |
| 2022 | 6,043 | $252K | |
| 2023 | 4,888 | $238K | |
| 2024incomplete | 4,115 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 1,699 | 1,676 | $196K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 3,806 | 3,595 | $186K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 1,690 | 1,668 | $181K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,127 | 1,101 | $120K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,128 | 1,112 | $118K |
| 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 | 8.2% | 1,253 | 1,217 | $84K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.9% | 1,490 | 1,448 | $50K |
| 92551 | 1.5% | 1,742 | 1,683 | $15K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.3% | 1,398 | 1,338 | $13K |
| 90686 | <1% | 1,068 | 1,016 | $8K | |
| 99499 | <1% | 258 | 245 | $7K | |
| 99173 | <1% | 1,677 | 1,623 | $5K |
29 more codes
| 90698 | <1% | 724 | $5K | |
| 96127 | <1% | 1,107 | $4K | |
| 90670 | <1% | 682 | $4K | |
| 90651 | <1% | 322 | $4K | |
| 90688 | <1% | 469 | $3K | |
| 90680 | <1% | 417 | $3K | |
| 90633 | <1% | 268 | $2K | |
| 90744 | <1% | 227 | $1K | |
| 90656 | <1% | 163 | $1K | |
| 90734 | <1% | 180 | $1K | |
| 99460 | <1% | 14 | $894.03 | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 12 | $502.60 |
| 90710 | <1% | 53 | $445.12 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 74 | $420.00 |
| 90696 | <1% | 42 | $303.82 | |
| 90715 | <1% | 27 | $202.55 | |
| 90620 | <1% | 37 | $196.95 | |
| 90480 | <1% | 19 | $185.00 | |
| 90716 | <1% | 12 | $135.17 | |
| 90707 | <1% | 12 | $135.17 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $122.92 |
| 91321 | <1% | 14 | $110.00 | |
| 90461 | <1% | 172 | $63.40 | |
| 99000 | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 12 | $0.00 |
| G9920 | Screening performed and negative | 0% | 129 | $0.00 |
| 92552 | 0% | 16 | $0.00 | |
| 96160 | 0% | 18 | $0.00 | |
| 83655 | 0% | 30 | $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 officialJAMES, DARLENE (OFFICE MANAGER)