Physician
Pediatric Care INC
Pediatric Care INC was paid $500K by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoPEDIATRIC CARE INC
PROVO, UT 84604
PROVO, UT 84604
33aNPI1811956352assigned 03/22/2006
33bProvider typePediatrics Physician
28Total paid$500K
24GClaims13,427
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Utah
Rank by total paid#18 of 299
Median peer was paid$16K
This provider vs. median31×
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 | 403 | $21K | |
| 2019 | 204 | $8K | |
| 2020 | 296 | $10K | |
| 2021 | 2,263 | $101K | |
| 2022 | 2,901 | $131K | |
| 2023 | 3,525 | $116K | |
| 2024incomplete | 3,835 | $112K |
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 | 45% | 3,745 | 3,437 | $224K |
| 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 | 30% | 1,759 | 1,571 | $147K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 893 | 779 | $35K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 804 | 789 | $35K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 441 | 429 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.8% | 1,617 | 1,540 | $9K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.2% | 1,066 | 1,023 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 102 | 99 | $3K |
| 90674 | <1% | 214 | 202 | $3K | |
| 90686 | <1% | 206 | 187 | $3K | |
| 87428 | <1% | 60 | 55 | $2K | |
| 96127 | <1% | 733 | 697 | $1K |
29 more codes
| 90670 | <1% | 169 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 51 | $1K |
| 91307 | <1% | 104 | $680.00 | |
| 90473 | <1% | 89 | $658.61 | |
| 0072A | <1% | 24 | $640.00 | |
| 0071A | <1% | 47 | $600.00 | |
| 0001A | <1% | 22 | $560.00 | |
| 91300 | <1% | 96 | $440.00 | |
| 90672 | <1% | 54 | $399.83 | |
| 90648 | <1% | 13 | $321.42 | |
| 90723 | <1% | 218 | $236.61 | |
| 90661 | <1% | 50 | $197.69 | |
| 91305 | <1% | 23 | $120.00 | |
| 83655 | <1% | 16 | $99.00 | |
| 85018 | <1% | 16 | $19.62 | |
| 81003 | <1% | 14 | $18.36 | |
| 96161 | <1% | 46 | $8.68 | |
| 90660 | <1% | 17 | $0.05 | |
| 90680 | <1% | 152 | $0.01 | |
| 90647 | <1% | 253 | $0.01 | |
| 90677 | <1% | 152 | $0.01 | |
| 90700 | <1% | 47 | $0.01 | |
| 99050 | 0% | 12 | $0.00 | |
| 90716 | 0% | 24 | $0.00 | |
| 90651 | 0% | 18 | $0.00 | |
| 90707 | 0% | 12 | $0.00 | |
| 90713 | 0% | 16 | $0.00 | |
| 90633 | 0% | 13 | $0.00 | |
| 99173 | 0% | 19 | $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 officialWOODS, BRET (ADMINISTRATOR)