Physician
Pediatric and Adolescent Medicine Group
Pediatric and Adolescent Medicine Group was paid $113K by Medicaid between Sep 2020 and Nov 2024, across 15 billing codes. Its largest line is 90460, Immunization administration through 18 years of age via any route, first or only component — 37% of everything it billed.
33Billing provider infoPEDIATRIC AND ADOLESCENT MEDICINE GROUP
PHILADELPHIA, PA 19145
PHILADELPHIA, PA 19145
33aNPI1801836671assigned 06/08/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$113K
24GClaims10,347
24DCodes billed15
24AFirst – last monthSep 2020 – Nov 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Pennsylvania
Rank by total paid#19 of 44
Median peer was paid$39K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2020 | 749 | $6K | |
| 2021 | 2,485 | $31K | |
| 2022 | 2,707 | $23K | |
| 2023 | 2,891 | $37K | |
| 2024incomplete | 1,515 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 37% | 2,016 | 1,928 | $42K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 25% | 275 | 275 | $29K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 20% | 229 | 224 | $23K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 57 | 55 | $6K |
| 90461 | 3.3% | 191 | 189 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 2,599 | 2,407 | $3K |
| 90686 | 3.0% | 652 | 652 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 2,023 | 1,942 | $753.09 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 768 | 744 | $482.31 |
| 90734 | <1% | 24 | 24 | $460.22 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 67 | 66 | $441.31 |
| 99173 | <1% | 1,341 | 1,292 | $389.78 |
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 officialMAGLIOCCO, STELLA (OFFICE MANAGER)