Clinic
Children's Choice Pediatrics
Children's Choice Pediatrics was paid $124K by Medicaid between Jan 2018 and Feb 2020, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 47% of everything it billed.
33Billing provider infoCHILDREN'S CHOICE PEDIATRICS
WEST WARWICK, RI 02893
WEST WARWICK, RI 02893
33aNPI1912074675assigned 11/29/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$124K
24GClaims2,832
24DCodes billed10
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Primary Care Clinic/Center providers in Rhode Island
Rank by total paid#2 of 6
Median peer was paid$15K
This provider vs. median8.5×
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 | 789 | $32K | |
| 2019 | 1,764 | $80K | |
| 2020 | 279 | $12K |
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 | 47% | 1,059 | 956 | $59K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 14% | 208 | 200 | $17K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 12% | 798 | 749 | $14K |
| 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 | 7.8% | 118 | 91 | $10K |
| 90461 | 5.7% | 248 | 228 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.1% | 71 | 69 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 54 | 54 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 51 | 51 | $4K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 179 | 174 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 46 | 46 | $644.00 |
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 officialKHANBHAI, KARIM (M.D)