Physician
University Pediatrics, INC
University Pediatrics, INC was paid $204K by Medicaid between Jan 2018 and Feb 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoUNIVERSITY PEDIATRICS, INC
PROVIDENCE, RI 02906
PROVIDENCE, RI 02906
33aNPI1932117702assigned 08/04/2006
33bProvider typePediatrics Physician
28Total paid$204K
24GClaims4,098
24DCodes billed14
24AFirst – last monthJan 2018 – Feb 2020
Compared with peers
Next to other Pediatrics Physician providers in Rhode Island
Rank by total paid#95 of 265
Median peer was paid$133K
This provider vs. median1.5×
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 | 720 | $37K | |
| 2019 | 2,866 | $141K | |
| 2020 | 512 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 37% | 946 | 858 | $76K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 802 | 742 | $42K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.6% | 220 | 217 | $18K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.4% | 204 | 176 | $15K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 7.1% | 804 | 787 | $14K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 119 | 119 | $9K |
| 92587 | 4.5% | 161 | 161 | $9K | |
| 90461 | 4.0% | 248 | 242 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 66 | 66 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 269 | 260 | $3K |
| 99051 | 1.2% | 100 | 96 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 65 | 64 | $744.64 |
2 more codes
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 officialEDEN, ROBERT (OWNER)