Physician
Burlington Pediatric Association, P.C.
Burlington Pediatric Association, P.C. was paid $1.83M by Medicaid between Jan 2018 and Dec 2020, across 41 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoBURLINGTON PEDIATRIC ASSOCIATION, P.C.
WEST BURLINGTON, IA 52655
WEST BURLINGTON, IA 52655
33aNPI1942294244assigned 09/01/2005
33bProvider typePediatrics Physician
28Total paid$1.83M
24GClaims67,606
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Pediatrics Physician providers in Iowa
Rank by total paid#3 of 42
Median peer was paid$47K
This provider vs. median39×
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 | 24,524 | $616K | |
| 2019 | 20,858 | $587K | |
| 2020 | 22,224 | $628K |
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 | 40% | 20,484 | 17,204 | $739K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 3,399 | 3,181 | $231K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.7% | 2,411 | 2,288 | $178K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 7.7% | 3,716 | 3,243 | $141K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 7.5% | 1,587 | 1,353 | $137K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.1% | 4,366 | 4,190 | $93K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.2% | 6,808 | 6,521 | $77K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 405 | 398 | $33K |
| 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 | 1.5% | 502 | 458 | $28K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 321 | 317 | $24K |
| 87634 | <1% | 204 | 184 | $15K | |
| 87801 | Infectious agent detection by nucleic acid; amplified probe, multiple organisms | <1% | 359 | 312 | $14K |
29 more codes
| 83655 | <1% | 877 | $14K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 279 | $13K |
| 85018 | <1% | 3,852 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 192 | $10K |
| 90474 | <1% | 1,486 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 378 | $9K |
| 90686 | <1% | 1,815 | $7K | |
| 96127 | <1% | 453 | $6K | |
| 90734 | <1% | 360 | $6K | |
| 90651 | <1% | 226 | $5K | |
| 87081 | <1% | 871 | $5K | |
| 90716 | <1% | 712 | $4K | |
| 99460 | <1% | 57 | $3K | |
| 99173 | <1% | 1,724 | $3K | |
| 90707 | <1% | 701 | $2K | |
| 90633 | <1% | 914 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 140 | $2K |
| 90670 | <1% | 2,460 | $2K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 199 | $2K |
| 90696 | <1% | 104 | $1K | |
| 81000 | <1% | 254 | $866.19 | |
| 90715 | <1% | 158 | $799.52 | |
| 90648 | <1% | 1,651 | $656.03 | |
| 90698 | <1% | 270 | $620.11 | |
| 99462 | <1% | 15 | $480.61 | |
| 86308 | <1% | 12 | $74.18 | |
| 94760 | <1% | 41 | $31.30 | |
| 90680 | <1% | 1,441 | $0.69 | |
| 90723 | <1% | 1,402 | $0.62 |
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 officialMCCABE, DONALD (PHYSICIAN)