Pediatric Health Care

Pediatric Health Care was paid $2.03M by Medicaid between Jan 2018 and Dec 2021, across 48 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 60% of everything it billed.

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	15,541	$645K
2019	14,971	$584K
2020	10,543	$442K
2021	7,414	$358K

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	60%	13,900	10,632	$1.23M
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.0%	2,675	2,446	$163K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	5.4%	1,257	1,207	$109K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.9%	845	809	$80K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	3.4%	784	772	$69K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.6%	638	586	$53K
99497		2.6%	1,139	1,010	$53K
95165	Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials	2.6%	276	237	$52K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	1.7%	420	355	$34K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.3%	3,432	3,401	$27K
99174		<1%	3,537	3,517	$20K
92551		<1%	2,322	2,307	$17K

36 more codes

92587		<1%	1,314	$16K
87502	Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets	<1%	168	$14K
92567		<1%	1,471	$12K
90686		<1%	1,014	$12K
36415	Collection of venous blood by venipuncture	<1%	4,203	$11K
81002		<1%	2,637	$8K
87651	Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe	<1%	227	$8K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	571	$7K
94060		<1%	129	$4K
87430		<1%	286	$4K
69210		<1%	137	$4K
90651		<1%	332	$3K
90670		<1%	357	$3K
83009		<1%	43	$3K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	248	$3K
94664		<1%	227	$2K
90734		<1%	184	$2K
94016		<1%	128	$2K
90648		<1%	160	$2K
99383		<1%	12	$1K
90710		<1%	120	$1K
90685		<1%	75	$1K
99188		<1%	586	$887.75
85018		<1%	405	$886.90
90633		<1%	93	$885.92
90715		<1%	68	$653.01
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	39	$426.74
83655		<1%	27	$311.07
90698		<1%	12	$114.48
90723		<1%	12	$71.52
J0696	Injection, ceftriaxone sodium, per 250 mg	<1%	22	$17.55
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	0%	1,559	$0.00
G0009	Administration of pneumococcal vaccine	0%	178	$0.00
G0010	Administration of hepatitis b vaccine	0%	13	$0.00
99072		0%	96	$0.00
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	0%	91	$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 officialDAHAN, MAZEN (MANGER)