Physician
Montgomery Pediatrics
Montgomery Pediatrics was paid $8K by Medicaid between Jun 2024 and Nov 2024, across 8 billing codes. Its largest line is 99391, Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) — 37% of everything it billed.
33Billing provider infoMONTGOMERY PEDIATRICS
WICHITA, KS 67214
WICHITA, KS 67214
33aNPI1962269910assigned 03/05/2024
33bProvider typePediatrics Physician
28Total paid$8K
24GClaims205
24DCodes billed8
24AFirst – last monthJun 2024 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Kansas
Rank by total paid#59 of 78
Median peer was paid$136K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 205 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 37% | 35 | 27 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 32% | 39 | 36 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 18% | 45 | 42 | $1K |
| 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 | 15 | $595.35 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 14 | 14 | $412.74 |
| 90671 | 0% | 19 | 16 | $0.00 | |
| 90461 | 0% | 21 | 18 | $0.00 | |
| 90698 | 0% | 17 | 14 | $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 officialMONTGOMERY, PHILIP (PHYSICIAN/OWNER)