Physician
Pediatric Urgent Care of Franklin County PC
Pediatric Urgent Care of Franklin County PC was paid $17K by Medicaid between Apr 2019 and Jun 2022, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 57% of everything it billed.
33Billing provider infoPEDIATRIC URGENT CARE OF FRANKLIN COUNTY PC
WAYNESBORO, PA 17268
WAYNESBORO, PA 17268
33aNPI1831599679assigned 08/29/2014
33bProvider typePediatrics Physician
28Total paid$17K
24GClaims488
24DCodes billed5
24AFirst – last monthApr 2019 – Jun 2022
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#796 of 1,257
Median peer was paid$45K
This provider vs. median0.4×
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 | 15 | $538.50 | |
| 2020 | 323 | $10K | |
| 2021 | 88 | $3K | |
| 2022 | 62 | $3K |
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 | 57% | 266 | 237 | $10K |
| 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 | 20% | 61 | 60 | $3K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 15% | 60 | 58 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 5.3% | 76 | 39 | $903.21 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 3.5% | 25 | 24 | $595.40 |
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 officialRISHI, FOUZIA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Specialists of Franklin County | Waynesboro, PA | $1.20M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.