Physician
Pediatric Associates of Kingston, LLC
Pediatric Associates of Kingston, LLC was paid $3.48M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF KINGSTON, LLC
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1831201276assigned 08/31/2006
33bProvider typePediatrics Physician
28Total paid$3.48M
24GClaims112,786
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#18 of 1,257
Median peer was paid$45K
This provider vs. median77×
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 | 704 | $12K | |
| 2019 | 1,882 | $36K | |
| 2020 | 3,665 | $96K | |
| 2021 | 22,082 | $692K | |
| 2022 | 25,374 | $764K | |
| 2023 | 30,392 | $939K | |
| 2024incomplete | 28,687 | $939K |
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 | 29% | 28,974 | 26,465 | $1.02M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 21% | 8,233 | 8,096 | $730K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 6,507 | 6,115 | $543K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.5% | 4,299 | 4,263 | $330K |
| 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 | 7.9% | 5,051 | 4,771 | $276K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | 3.2% | 1,410 | 1,368 | $111K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.0% | 1,461 | 1,453 | $105K |
| 99177 | 1.4% | 3,294 | 3,238 | $47K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,123 | 2,969 | $28K |
| 99188 | <1% | 1,533 | 1,521 | $27K | |
| 0001A | <1% | 549 | 549 | $22K | |
| 0012A | <1% | 491 | 489 | $20K |
52 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 210 | $19K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,937 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 854 | $16K |
| 0071A | <1% | 384 | $15K | |
| 90686 | <1% | 4,434 | $15K | |
| 96127 | <1% | 3,688 | $14K | |
| 0072A | <1% | 321 | $13K | |
| 90698 | <1% | 5,016 | $9K | |
| 90670 | <1% | 3,708 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 181 | $8K |
| 83655 | <1% | 652 | $6K | |
| 90680 | <1% | 3,409 | $6K | |
| 87634 | <1% | 88 | $6K | |
| 90633 | <1% | 2,783 | $6K | |
| 90744 | <1% | 2,290 | $5K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 186 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 59 | $5K |
| 96161 | <1% | 1,416 | $5K | |
| 99383 | <1% | 54 | $5K | |
| 90734 | <1% | 420 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 173 | $3K |
| 90461 | <1% | 148 | $3K | |
| 98966 | <1% | 296 | $3K | |
| 90716 | <1% | 1,263 | $2K | |
| 90707 | <1% | 1,252 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 153 | $2K |
| 90710 | <1% | 1,112 | $2K | |
| 0004A | <1% | 35 | $1K | |
| 90651 | <1% | 936 | $1K | |
| 0002A | <1% | 27 | $1K | |
| 99382 | <1% | 12 | $1K | |
| 80061 | Lipid panel | <1% | 69 | $840.00 |
| 90715 | <1% | 667 | $735.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 35 | $673.00 |
| 99072 | <1% | 3,962 | $649.31 | |
| 90620 | <1% | 363 | $630.71 | |
| 90696 | <1% | 840 | $440.00 | |
| 97802 | <1% | 35 | $400.00 | |
| 85018 | <1% | 123 | $377.91 | |
| 92551 | <1% | 69 | $304.80 | |
| 90656 | <1% | 853 | $296.76 | |
| 90677 | <1% | 1,329 | $190.00 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12 | $124.32 |
| 99000 | <1% | 28 | $59.45 | |
| 90619 | <1% | 755 | $10.00 | |
| 91318 | 0% | 53 | $0.00 | |
| 90381 | 0% | 46 | $0.00 | |
| 94760 | 0% | 12 | $0.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 15 | $0.00 |
| 91319 | 0% | 50 | $0.00 | |
| 90380 | 0% | 28 | $0.00 | |
| 91320 | 0% | 20 | $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 officialVOUGHT, JR (PRACTICE MANAGER)