Medical Billing · Nationwide
Pediatrics Medical Billing Services
Well-child and immunization-heavy billing where vaccine administration codes and Medicaid rules drive the revenue.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to pediatric practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical pediatrics CPT range we work: 99381–99394, 90460–90474, 99202–99215.
Why pediatrics billing leaks revenue
Vaccine administration codes (90460–90474) are under-billed against the product codes
Well-child vs. sick-visit same-day billing needs modifier 25 support
Medicaid and VFC (Vaccines for Children) rules add program-specific complexity
Newborn and developmental screening codes are frequently missed
How Aethera fixes it
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Free tools for your billing team
Use these any time — no login required.
Pediatrics billing FAQ
How do you maximize vaccine administration revenue?
We bill each administration component (90460–90474) alongside the vaccine product so immunization revenue is fully captured under both commercial and VFC rules.
Can you bill a well-child and sick visit on the same day?
Yes — when documentation supports it, we apply modifier 25 to the problem-oriented E/M so both the preventive and sick visit are paid.