Physician
Valley Pediatrics PC
Valley Pediatrics PC was paid $615K by Medicaid between Sep 2018 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoVALLEY PEDIATRICS PC
WARMINSTER, PA 18974
WARMINSTER, PA 18974
33aNPI1841383239assigned 09/30/2006
33bProvider typePediatrics Physician
28Total paid$615K
24GClaims15,141
24DCodes billed30
24AFirst – last monthSep 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#162 of 1,257
Median peer was paid$45K
This provider vs. median14×
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 | 87 | $3K | |
| 2019 | 244 | $5K | |
| 2020 | 763 | $23K | |
| 2021 | 2,804 | $102K | |
| 2022 | 3,170 | $146K | |
| 2023 | 3,959 | $187K | |
| 2024incomplete | 4,114 | $149K |
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 | 39% | 5,133 | 4,653 | $239K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 20% | 1,223 | 1,175 | $121K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 893 | 864 | $93K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 681 | 662 | $78K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.1% | 235 | 222 | $25K |
| 90688 | 1.4% | 664 | 646 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 1.3% | 85 | 84 | $8K |
| 92551 | 1.2% | 1,192 | 1,083 | $7K | |
| 99080 | 1.0% | 319 | 314 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 1.0% | 570 | 489 | $6K |
| 96127 | <1% | 1,213 | 1,155 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 129 | 127 | $4K |
18 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 365 | $3K |
| 99173 | <1% | 1,226 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 460 | $2K |
| 90686 | <1% | 150 | $1K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 33 | $560.99 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 33 | $545.25 |
| 90619 | <1% | 89 | $510.48 | |
| 90715 | <1% | 43 | $397.04 | |
| 90671 | <1% | 25 | $354.50 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 37 | $309.92 |
| 99174 | <1% | 30 | $243.60 | |
| 90734 | <1% | 16 | $226.88 | |
| 90670 | <1% | 48 | $200.16 | |
| 90698 | <1% | 15 | $180.16 | |
| S3645 | Hiv-1 antibody testing of oral mucosal transudate | <1% | 14 | $56.72 |
| 96160 | <1% | 118 | $2.18 | |
| G9920 | Screening performed and negative | 0% | 62 | $0.00 |
| 83655 | 0% | 40 | $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 officialTITUS, MARY ANNE (REFERRAL CREDENTIALING)