Physician
Pediaclinic LLC
Pediaclinic LLC was paid $18K by Medicaid between Mar 2021 and Nov 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 60% of everything it billed.
33Billing provider infoPEDIACLINIC LLC
HIGHLANDS RANCH, CO 80126
HIGHLANDS RANCH, CO 80126
33aNPI1851866180assigned 10/13/2018
33bProvider typePediatrics Physician
28Total paid$18K
24GClaims1,467
24DCodes billed11
24AFirst – last monthMar 2021 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Colorado
Rank by total paid#126 of 186
Median peer was paid$68K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 961 | $11K | |
| 2022 | 283 | $5K | |
| 2023 | 127 | $2K | |
| 2024incomplete | 96 | $0.00 |
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 | 60% | 202 | 178 | $11K |
| 0001A | 12% | 133 | 92 | $2K | |
| 0002A | 10% | 114 | 78 | $2K | |
| 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% | 15 | 14 | $1K |
| 0071A | 5.2% | 19 | 18 | $926.55 | |
| 99050 | 4.6% | 340 | 276 | $823.75 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 88 | 78 | $50.82 |
| 99072 | <1% | 178 | 156 | $7.00 | |
| 99051 | 0% | 79 | 61 | $0.00 | |
| 91300 | 0% | 278 | 192 | $0.00 | |
| 91307 | 0% | 21 | 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 officialFEITEN, DANIEL (BOARD MEMBER)