Physician
Pediatric Associates Prof LLC
Pediatric Associates Prof LLC was paid $1.26M by Medicaid between Apr 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES PROF LLC
DELTA, CO 81416
DELTA, CO 81416
33aNPI1831694231assigned 03/27/2018
33bProvider typePediatrics Physician
28Total paid$1.26M
24GClaims27,321
24DCodes billed37
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#32 of 186
Median peer was paid$68K
This provider vs. median19×
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 | 4,452 | $167K | |
| 2019 | 5,378 | $261K | |
| 2020 | 2,791 | $104K | |
| 2021 | 3,572 | $157K | |
| 2022 | 3,472 | $215K | |
| 2023 | 4,496 | $222K | |
| 2024incomplete | 3,160 | $137K |
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 | 50% | 9,892 | 9,216 | $634K |
| 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 | 15% | 1,946 | 1,891 | $189K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 857 | 831 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 840 | 807 | $74K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.8% | 815 | 784 | $73K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.8% | 2,622 | 2,519 | $49K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.0% | 2,385 | 2,341 | $38K |
| 99177 | 2.6% | 2,416 | 2,369 | $33K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 593 | 576 | $25K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.5% | 878 | 851 | $18K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 1.0% | 92 | 92 | $13K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 112 | 112 | $12K |
25 more codes
| 92551 | <1% | 970 | $10K | |
| 92558 | <1% | 821 | $9K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 175 | $2K |
| 90473 | <1% | 63 | $1K | |
| 99000 | <1% | 451 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 34 | $1K |
| 96127 | <1% | 205 | $857.28 | |
| 83655 | <1% | 51 | $722.10 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 12 | $559.02 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $479.76 |
| 36416 | <1% | 42 | $132.72 | |
| 90671 | 0% | 64 | $0.00 | |
| 90461 | 0% | 251 | $0.00 | |
| 90710 | 0% | 12 | $0.00 | |
| 90633 | 0% | 24 | $0.00 | |
| 90670 | 0% | 24 | $0.00 | |
| 90672 | 0% | 33 | $0.00 | |
| 90647 | 0% | 25 | $0.00 | |
| 90656 | 0% | 36 | $0.00 | |
| 90686 | 0% | 491 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 90677 | 0% | 12 | $0.00 | |
| 90619 | 0% | 15 | $0.00 | |
| 90723 | 0% | 26 | $0.00 | |
| 90696 | 0% | 12 | $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 officialHICKERT, AMBER (PRACTICE ADMINISTRATOR)
Parent organizationPEDIATRIC ASSOCIATES PROF LLC
| Provider | Location | Paid |
|---|---|---|
| Pediatric Associates Prof LLC | Montrose, CO | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.