Physician
Iyer Pediatric Care Clinic LLC
Iyer Pediatric Care Clinic LLC was paid $897K by Medicaid between Jan 2018 and Jun 2020, across 28 billing codes. Its largest line is 99392, Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) — 20% of everything it billed.
33Billing provider infoIYER PEDIATRIC CARE CLINIC LLC
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1972823839assigned 06/02/2010
33bProvider typePediatrics Physician
28Total paid$897K
24GClaims29,571
24DCodes billed28
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Pediatrics Physician providers in Indiana
Rank by total paid#35 of 119
Median peer was paid$395K
This provider vs. median2.3×
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 | 11,182 | $384K | |
| 2019 | 14,716 | $403K | |
| 2020 | 3,673 | $111K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 20% | 2,243 | 1,952 | $176K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,793 | 3,074 | $171K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 18% | 2,158 | 1,811 | $164K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 1,997 | 1,591 | $145K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.5% | 1,101 | 948 | $85K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 5.0% | 2,818 | 2,374 | $45K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.7% | 4,183 | 3,490 | $33K |
| 99460 | 2.8% | 407 | 373 | $25K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 2.7% | 521 | 466 | $24K |
| 83655 | 1.2% | 1,048 | 873 | $11K | |
| 54150 | <1% | 74 | 72 | $8K | |
| 99383 | <1% | 37 | 37 | $4K |
16 more codes
| 85018 | <1% | 903 | $2K | |
| 90733 | <1% | 389 | $1K | |
| 99462 | <1% | 30 | $910.11 | |
| 90715 | <1% | 396 | $454.48 | |
| 90670 | <1% | 1,318 | $383.95 | |
| 90710 | <1% | 798 | $210.72 | |
| 90686 | <1% | 456 | $206.52 | |
| 90680 | <1% | 931 | $176.34 | |
| 90620 | <1% | 302 | $144.37 | |
| 90633 | <1% | 923 | $135.13 | |
| 90647 | <1% | 713 | $27.66 | |
| 90658 | <1% | 297 | $15.92 | |
| 90698 | <1% | 597 | $0.96 | |
| 90723 | <1% | 731 | $0.92 | |
| 90696 | <1% | 248 | $0.71 | |
| 90657 | <1% | 159 | $0.41 |
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 officialIYER, RAJARAMAN (OWNER)