KIDDIES PAL LLC SOS Verified
851 S RAMPART BLVD STE 130, LAS VEGAS, NV 89145
NPI Number
1336665348
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: KiddieCorp
Entity Number: E42067732024-9
Entity Type: Foreign Corporation
Entity Status: Active
Formation Date: 2024-07-25
Status Changed: 2024-07-25
Name Match: 80%
Registered Agent
Name: Yvette Johnson
Type: Non-Commercial Registered Agent
Address: 311 Turtle Peak Ave, Las Vegas, NV, 89148
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | Amber Standley | 8961 complex drive, San Diego, CA | Active |
| Secretary | Tyler Standley | 8961 complex drive, San Diego, CA | Active |
Total Medicaid Payments
$3,851
-100% vs specialty average
Patients Seen
253
Total Claims
416
$ Per Patient
$15
Specialty avg: $37
Specialty Rank
#229 of 256
Pediatrics providers in Nevada
Peer Average
$819,121
Average total for Pediatrics
Claims per Patient
1.6
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2019 | $1,317 | |
| 2020 | $400 | |
| 2021 | $2,134 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90460 | Giving a vaccine to a child, including talking with the family about it | 234 | $1,822 | 47.3% | $8 |
| 99213 | Office visit for a simple problem (established patient) | 12 | $859 | 22.3% | $72 |
| 99214 | Office visit for a moderate problem (established patient) | 18 | $738 | 19.2% | $41 |
| 90461 | Additional vaccine given to a child at the same visit | 16 | $408 | 10.6% | $26 |
| 94760 | Breathing test or lung function test | 33 | $23 | 0.6% | $1 |
| 99070 | Special medical service | 103 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.