Physician
DR. Phil Pediatrics, P. A.
DR. Phil Pediatrics, P. A. was paid $176K by Medicaid between Jan 2018 and Jul 2020, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoDR. PHIL PEDIATRICS, P. A.
RIO RANCHO, NM 87124
RIO RANCHO, NM 87124
33aNPI1972754356assigned 10/03/2008
33bProvider typePediatrics Physician
28Total paid$176K
24GClaims4,564
24DCodes billed25
24AFirst – last monthJan 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in New Mexico
Rank by total paid#32 of 53
Median peer was paid$535K
This provider vs. median0.3×
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 | 2,532 | $79K | |
| 2019 | 1,432 | $64K | |
| 2020 | 600 | $33K |
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 | 36% | 1,129 | 989 | $63K |
| 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 | 23% | 500 | 397 | $41K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 166 | 162 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 6.0% | 446 | 435 | $10K |
| 90461 | 4.3% | 205 | 203 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.0% | 352 | 339 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 50 | 49 | $5K |
| 99058 | 2.6% | 360 | 338 | $5K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.3% | 185 | 118 | $4K |
| S9999 | Sales tax | 2.0% | 442 | 384 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 29 | 29 | $3K |
| 99205 | Prolong outpt/office vis | 1.2% | 13 | 13 | $2K |
13 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 99080 | <1% | 260 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 84 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $859.58 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 29 | $451.92 |
| 99070 | <1% | 50 | $447.20 | |
| 99442 | <1% | 12 | $234.60 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 16 | $4.42 |
| 90658 | 0% | 94 | $0.00 | |
| 90670 | 0% | 39 | $0.00 | |
| A6413 | Adhesive bandage, first-aid type, any size, each | 0% | 30 | $0.00 |
| 90734 | 0% | 14 | $0.00 | |
| 90657 | 0% | 13 | $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 officialPERKINS, KALIE (OFFICE MANAGER)