Physician
Zero Pediatrics PLLC
Zero Pediatrics PLLC was paid $228K by Medicaid between Jun 2020 and Dec 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoZERO PEDIATRICS PLLC
DUNMORE, PA 18512
DUNMORE, PA 18512
33aNPI1841679685assigned 05/27/2015
33bProvider typePediatrics Physician
28Total paid$228K
24GClaims8,762
24DCodes billed25
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Pennsylvania
Rank by total paid#323 of 1,257
Median peer was paid$45K
This provider vs. median5.0×
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 | |
|---|---|---|---|
| 2020 | 244 | $5K | |
| 2021 | 1,277 | $41K | |
| 2022 | 2,359 | $57K | |
| 2023 | 2,387 | $63K | |
| 2024incomplete | 2,495 | $63K |
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 | 38% | 3,871 | 3,418 | $87K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 17% | 685 | 685 | $40K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 15% | 606 | 602 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.3% | 349 | 333 | $21K |
| 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 | 7.4% | 455 | 438 | $17K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 255 | 235 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 996 | 935 | $5K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 219 | 210 | $2K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 24 | 13 | $2K |
| 90686 | <1% | 367 | 349 | $1K | |
| 96127 | <1% | 391 | 358 | $1K | |
| 0012A | <1% | 22 | 22 | $840.00 |
13 more codes
| 0011A | <1% | 22 | $840.00 | |
| 0071A | <1% | 28 | $643.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 86 | $447.78 |
| 0072A | <1% | 24 | $440.00 | |
| 99050 | <1% | 15 | $252.33 | |
| 92551 | <1% | 75 | $160.00 | |
| 99173 | <1% | 76 | $126.00 | |
| 90656 | <1% | 51 | $60.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 17 | $48.00 |
| 96160 | <1% | 13 | $27.30 | |
| 90677 | 0% | 25 | $0.00 | |
| 91307 | 0% | 51 | $0.00 | |
| 91301 | 0% | 39 | $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 officialZERO, ERIKA (PRACTICE MANAGER)