Clinic
Lancaster Pediatric Associates LTD
Lancaster Pediatric Associates LTD was paid $504K by Medicaid between Jan 2018 and Dec 2024, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoLANCASTER PEDIATRIC ASSOCIATES LTD
LANCASTER, PA 17601
LANCASTER, PA 17601
33aNPI1831175884assigned 12/21/2005
33bProvider typePrimary Care Clinic/Center
28Total paid$504K
24GClaims26,715
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Pennsylvania
Rank by total paid#5 of 43
Median peer was paid$55K
This provider vs. median9.2×
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 | 672 | $53K | |
| 2019 | 406 | $18K | |
| 2020 | 1,992 | $27K | |
| 2021 | 6,518 | $96K | |
| 2022 | 5,220 | $95K | |
| 2023 | 6,680 | $117K | |
| 2024incomplete | 5,227 | $97K |
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 | 56% | 8,605 | 8,066 | $283K |
| 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 | 19% | 1,273 | 1,014 | $97K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.8% | 350 | 339 | $34K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.1% | 2,950 | 2,796 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.9% | 132 | 132 | $15K |
| 90686 | 2.6% | 2,552 | 2,451 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.0% | 112 | 112 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 242 | 214 | $6K |
| 90670 | <1% | 747 | 735 | $4K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 113 | 108 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 358 | 336 | $3K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 590 | 569 | $3K |
35 more codes
| 90698 | <1% | 235 | $2K | |
| 90680 | <1% | 593 | $2K | |
| 90633 | <1% | 648 | $2K | |
| 90461 | <1% | 223 | $2K | |
| 90651 | <1% | 568 | $1K | |
| 90744 | <1% | 117 | $1K | |
| 0072A | <1% | 66 | $1K | |
| 0071A | <1% | 42 | $1K | |
| 90734 | <1% | 77 | $640.00 | |
| 90700 | <1% | 82 | $528.00 | |
| 96127 | <1% | 284 | $400.72 | |
| 90715 | <1% | 272 | $360.00 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 24 | $284.46 |
| 90648 | <1% | 67 | $176.00 | |
| 90480 | <1% | 45 | $140.80 | |
| 90707 | <1% | 26 | $130.00 | |
| 99050 | <1% | 13 | $130.00 | |
| 90696 | <1% | 47 | $121.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 19 | $99.97 |
| 99072 | 0% | 1,905 | $0.00 | |
| 90671 | 0% | 133 | $0.00 | |
| 3210F | 0% | 55 | $0.00 | |
| 91320 | 0% | 47 | $0.00 | |
| 90710 | 0% | 56 | $0.00 | |
| 90619 | 0% | 574 | $0.00 | |
| 3008F | 0% | 1,233 | $0.00 | |
| 90381 | 0% | 12 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 167 | $0.00 |
| 90697 | 0% | 261 | $0.00 | |
| 90677 | 0% | 320 | $0.00 | |
| 91319 | 0% | 27 | $0.00 | |
| 90656 | 0% | 411 | $0.00 | |
| 90716 | 0% | 14 | $0.00 | |
| 0154A | 0% | 12 | $0.00 | |
| 0074A | 0% | 16 | $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 officialRALSTON-WEIDNER, JUNE (DIRECTOR OF OPERATIONS)