Clinic
Potomac Pediatrics, P.C.
Potomac Pediatrics, P.C. was paid $576K by Medicaid between Jan 2018 and May 2021, across 31 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoPOTOMAC PEDIATRICS, P.C.
WOODBRIDGE, VA 22191
WOODBRIDGE, VA 22191
33aNPI1003051897assigned 12/08/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$576K
24GClaims18,748
24DCodes billed31
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#19 of 80
Median peer was paid$108K
This provider vs. median5.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | 5,864 | $186K | |
| 2019 | 6,991 | $202K | |
| 2020 | 4,861 | $155K | |
| 2021 | 1,032 | $34K |
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 | 29% | 2,169 | 1,886 | $170K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 1,945 | 1,749 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,023 | 932 | $70K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 907 | 853 | $66K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.0% | 628 | 604 | $46K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 290 | 281 | $23K |
| 90670 | 3.8% | 897 | 837 | $22K | |
| 90688 | 2.4% | 1,242 | 1,150 | $14K | |
| 90698 | 2.4% | 849 | 787 | $14K | |
| 90680 | 1.6% | 496 | 457 | $9K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 558 | 276 | $6K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 528 | 504 | $6K |
19 more codes
| 99381 | <1% | 79 | $5K | |
| 90685 | <1% | 322 | $3K | |
| 90633 | <1% | 267 | $3K | |
| 90651 | <1% | 83 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,983 | $3K |
| 90744 | <1% | 236 | $3K | |
| 90461 | <1% | 1,301 | $2K | |
| 99000 | <1% | 606 | $2K | |
| 92552 | <1% | 44 | $1K | |
| 90734 | <1% | 46 | $880.12 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 443 | $776.53 |
| 94760 | <1% | 476 | $619.01 | |
| 90710 | <1% | 14 | $536.82 | |
| 90716 | <1% | 27 | $397.57 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 40 | $329.44 |
| 81002 | <1% | 121 | $319.68 | |
| 90696 | <1% | 14 | $230.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 68 | $101.60 |
| 99173 | <1% | 46 | $71.87 |
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 officialTOUCHETTE, LEONARD (PRESIDENT)