Associated Pediatricians, LLC
Associated Pediatricians, LLC was paid $1.01M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 56% of everything it billed.
33Billing provider infoASSOCIATED PEDIATRICIANS, LLC
VALPARAISO, IN 46383
VALPARAISO, IN 46383
33aNPI1942368519assigned 12/05/2006
33bProvider typeSpecialist
28Total paid$1.01M
24GClaims24,022
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#17 of 90
Median peer was paid$98K
This provider vs. median10×
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 | 1,298 | $63K | |
| 2019 | 1,353 | $68K | |
| 2020 | 1,254 | $45K | |
| 2021 | 3,187 | $138K | |
| 2022 | 4,031 | $183K | |
| 2023 | 5,922 | $229K | |
| 2024incomplete | 6,977 | $279K |
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 | 56% | 9,821 | 8,991 | $565K |
| 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 | 25% | 3,111 | 2,780 | $250K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 986 | 876 | $67K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.9% | 3,166 | 2,964 | $39K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.1% | 477 | 453 | $31K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 1.6% | 600 | 566 | $16K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 460 | 412 | $13K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 140 | 132 | $10K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 68 | 68 | $5K |
| 96127 | <1% | 1,217 | 996 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 180 | 169 | $2K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 125 | 102 | $1K |
13 more codes
| 90686 | <1% | 477 | $894.11 | |
| 99177 | <1% | 286 | $766.56 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 57 | $358.16 |
| 90688 | <1% | 16 | $189.24 | |
| 96161 | <1% | 72 | $96.11 | |
| 90656 | <1% | 84 | $61.87 | |
| 87999 | <1% | 660 | $45.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 1,348 | $0.00 |
| 99051 | 0% | 361 | $0.00 | |
| 90648 | 0% | 146 | $0.00 | |
| 90670 | 0% | 92 | $0.00 | |
| 91307 | 0% | 22 | $0.00 | |
| 90677 | 0% | 50 | $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 officialWALKER, JILL (MEDICAID TRICARE SERVICES MANAGER)