Physician
Pediatric Medical Associates
Pediatric Medical Associates was paid $1.11M by Medicaid between Jan 2018 and Dec 2022, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 27% of everything it billed.
33Billing provider infoPEDIATRIC MEDICAL ASSOCIATES
MESA, AZ 85206
MESA, AZ 85206
33aNPI1972768968assigned 07/19/2008
33bProvider typePediatrics Physician
28Total paid$1.11M
24GClaims27,474
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in Arizona
Rank by total paid#58 of 235
Median peer was paid$164K
This provider vs. median6.8×
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 | 6,699 | $247K | |
| 2019 | 6,735 | $249K | |
| 2020 | 5,140 | $182K | |
| 2021 | 4,458 | $209K | |
| 2022 | 4,442 | $222K |
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 | 27% | 4,005 | 3,795 | $298K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 5,251 | 4,788 | $270K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 20% | 4,890 | 4,737 | $227K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 1,594 | 1,467 | $119K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 938 | 934 | $75K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.4% | 486 | 480 | $38K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,005 | 953 | $32K |
| 94667 | 1.8% | 942 | 901 | $20K | |
| 99177 | 1.2% | 593 | 587 | $14K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 468 | 302 | $6K |
| 86580 | <1% | 566 | 560 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,226 | 1,116 | $3K |
14 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 178 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 17 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 28 | $695.35 |
| 99000 | <1% | 105 | $10.26 | |
| 90680 | 0% | 204 | $0.00 | |
| 90686 | 0% | 968 | $0.00 | |
| 90744 | 0% | 41 | $0.00 | |
| 90716 | 0% | 12 | $0.00 | |
| 90700 | 0% | 1,369 | $0.00 | |
| 90648 | 0% | 826 | $0.00 | |
| 90670 | 0% | 880 | $0.00 | |
| 90713 | 0% | 844 | $0.00 | |
| 90633 | 0% | 14 | $0.00 | |
| 90685 | 0% | 24 | $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 officialIORIO, LOUIS (PRESIDENT)