Physician
The Pediatric Place
The Pediatric Place was paid $847K by Medicaid between May 2019 and Nov 2022, across 30 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 26% of everything it billed.
33Billing provider infoTHE PEDIATRIC PLACE
REXBURG, ID 83440
REXBURG, ID 83440
33aNPI1801350590assigned 01/26/2019
33bProvider typePediatrics Physician
28Total paid$847K
24GClaims19,985
24DCodes billed30
24AFirst – last monthMay 2019 – Nov 2022
Compared with peers
Next to other Pediatrics Physician providers in Idaho
Rank by total paid#11 of 22
Median peer was paid$564K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2019 | 2,713 | $118K | |
| 2020 | 6,636 | $272K | |
| 2021 | 6,091 | $265K | |
| 2022 | 4,545 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 26% | 2,646 | 2,488 | $220K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 3,484 | 3,187 | $214K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 19% | 1,711 | 1,709 | $161K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 15% | 2,344 | 2,343 | $125K |
| 90461 | 8.4% | 1,794 | 1,794 | $71K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 2.3% | 1,042 | 1,033 | $20K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 378 | 378 | $10K |
| 99382 | <1% | 47 | 47 | $6K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 55 | 55 | $5K |
| 99188 | <1% | 287 | 286 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 38 | 38 | $3K |
| 99460 | <1% | 28 | 28 | $2K |
18 more codes
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 32 | $2K |
| 90474 | <1% | 113 | $1K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 13 | $1K |
| 0071A | <1% | 27 | $510.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $461.90 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 25 | $157.76 |
| 36416 | <1% | 15 | $45.00 | |
| 90723 | 0% | 1,088 | $0.00 | |
| 90647 | 0% | 1,072 | $0.00 | |
| 90686 | 0% | 1,026 | $0.00 | |
| 91307 | 0% | 44 | $0.00 | |
| 96161 | 0% | 17 | $0.00 | |
| 90716 | 0% | 46 | $0.00 | |
| 90681 | 0% | 613 | $0.00 | |
| 90707 | 0% | 59 | $0.00 | |
| 90633 | 0% | 381 | $0.00 | |
| 90670 | 0% | 1,500 | $0.00 | |
| 90700 | 0% | 28 | $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 officialCOLLARD, ABRAM (PEDIATRICIAN)