Pediatrics
Pediatric billing from well-child visits to vaccines
Pediatric practices bill high volumes of preventive visits, sick visits and vaccines, often across Medicaid and commercial plans. Optimus keeps those claims clean and gets new pediatricians in-network. Billing starts at 2.9%* of collections.
Where pediatrics billing gets difficult
What your biller needs to get right
- 01
Preventive and sick visits together
When a child is seen for a problem during a well visit, both services may be billed, and the claim needs the right modifier.
- 02
Vaccines
Each vaccine involves a product code and an administration code, and both must be on the claim.
- 03
Payer mix
Practices often balance Medicaid and commercial plans, each with its own rules and timelines.
Pediatrics practices pay the same way as every Optimus client: billing from 2.9%* of collections, set by your monthly collections, providers and locations. See pricing page or how our medical billing service works.
FAQ
Answers before you ask
Can you credential a new pediatrician?
Yes. Credentialing is from $100 per payer plan.
Do you work with Medicaid plans?
Yes. We enroll providers in Medicaid and bill Medicaid claims.
Ready when you are
Give your practice the revenue cycle it deserves
Book a demo or get a free, no-obligation billing audit. We will show you where revenue is leaking and what it would take to fix it.