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NPI 1477742807 · Peoria, AZ · Pediatrics Physician
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Pleasant Pediatrics Plc is a pediatrics physician provider located in Peoria, Arizona. This profile covers 4 Medicare and 102 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Pleasant Pediatrics Plc |
| Address | 9059 W Lake Pleasant Pkwy Ste 540 |
| City | Peoria |
| State | AZ |
| ZIP | 85382 |
| Taxonomy | Pediatrics Physician |
| NPI Enumerated | October 22, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $33.2M |
| Medicare | $1.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
4 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0134A | N/A | 20 | $40 | $800 |
| 0124A | N/A | 10 | $40 | $440 |
| 91312 | N/A | 10 | $0 | $0 |
| 91313 | N/A | 20 | $0 | $0 |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
4 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0134A | 192 | 270 | 30 | $40 | $2K |
| 0124A | 280 | 300 | 30 | $40 | $1.9K |
| 91312 | 8 | 10 | 20 | $0 | $0 |
| 91313 | 10 | 20 | 20 | $0 | $0 |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
102 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 162,100 | $50 | $8.8M |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 86,150 | $60 | $5.4M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 69,520 | $80 | $5.3M |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 57,080 | $80 | $4.4M |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 39,480 | $80 | $3.2M |
| 99393 | The provider performs an established well–patient visit for a child who is between the ages of 5 and 11. | 18,530 | $80 | $1.4M |
| 99212 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,… | 23,640 | $30 | $733K |
| 99394 | The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17. | 6,820 | $90 | $600.2K |
| 99460 | The provider evaluates and manages the care of a normal newborn infant, typically immediately after birth, in a hospital or birthing center. | 6,390 | $70 | $421.7K |
| 99238 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the… | 5,130 | $60 | $323.1K |
Showing 1–10 of 102
How this provider's Medicaid billing volume and revenue compare to other Arizona providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arizona median
102 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 95165 | In this procedure, the provider mixes and prepares the antigens for allergen immunotherapy. Use this code when the provider prepares one or more antigens. | 44 | 80 | 510 | $280 | $643.5K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 151 | 400 | 200 | $120 | $403K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 53 | 3,040 | 750 | $50 | $343.9K |
| 95004 | The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient. | 67 | 80 | 150 | $360 | $320.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 14 | 2,780 | 600 | $50 | $267K |
| 99239 | The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the… | 163 | 210 | 320 | $70 | $177.6K |
| 90460 | In this procedure, the provider administers a single live attenuated vaccine through a parenteral, oral, intranasal, intramuscular, or intravenous to a patient up to 18 years of age. | 5 | 420 | 600 | $30 | $177K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 1 | 300 | 860 | $50 | $165.9K |
| 99392 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 2 | 300 | 690 | $60 | $155.9K |
| 99203 | The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider… | 216 | 1,030 | 130 | $70 | $134.1K |
Showing 1–10 of 102
Other providers in the same ZIP code as Pleasant Pediatrics Plc, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Partners | AZ | Home Health Agency | $0 | $77.6M |
| Elisabeth Balken | AZ | Nurse Practitioner | $23.3M | $0 |
| Pacifica Senior Living Peoria | AZ | Alzheimer Center (Dementia Center) | $0 | $11.1M |
| Pediatric Partners LLC | AZ | Speech-Language Pathologist | $0 | $7.1M |
| Southwest Network | AZ | Community/Behavioral Health Agency | $0 | $6.6M |
| Brea Peoria, LLC | AZ | Assisted Living Facility | $0 | $6.2M |
| Grant Fankhauser | AZ | Vascular Surgery Physician | $1.4M | $0 |
| David Nye | AZ | Vascular Surgery Physician | $905.8K | $0 |
| Dane Hill | AZ | Dermatology Physician | $882.4K | $0 |
| Han Choi | AZ | Dentist | $521.6K | $0 |
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