Physician
Metropolitan Pediatrics
Metropolitan Pediatrics was paid $1.25M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 50% of everything it billed.
33Billing provider infoMETROPOLITAN PEDIATRICS
ARLINGTON, VA 22203
ARLINGTON, VA 22203
33aNPI1003908914assigned 09/28/2006
33bProvider typePediatrics Physician
28Total paid$1.25M
24GClaims61,885
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#110 of 817
Median peer was paid$29K
This provider vs. median43×
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 | 6,276 | $123K | |
| 2019 | 8,258 | $166K | |
| 2020 | 7,486 | $124K | |
| 2021 | 10,505 | $166K | |
| 2022 | 9,162 | $218K | |
| 2023 | 10,310 | $232K | |
| 2024incomplete | 9,888 | $219K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 50% | 10,670 | 10,007 | $623K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.8% | 1,120 | 1,086 | $85K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.6% | 3,021 | 2,911 | $82K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 950 | 919 | $71K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.9% | 4,671 | 2,250 | $61K |
| 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 | 3.7% | 563 | 535 | $46K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.0% | 571 | 488 | $37K |
| 92587 | 2.9% | 6,071 | 5,926 | $36K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 2.0% | 8,280 | 7,699 | $25K |
| 99177 | 1.8% | 6,060 | 5,933 | $23K | |
| 90688 | 1.5% | 1,500 | 1,482 | $18K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.5% | 220 | 216 | $18K |
46 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 1,801 | $15K |
| 90651 | 1.0% | 254 | $13K | |
| 90686 | <1% | 984 | $12K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 368 | $11K |
| 90461 | <1% | 2,103 | $8K | |
| 96127 | <1% | 1,438 | $7K | |
| 90670 | <1% | 159 | $6K | |
| 0071A | <1% | 109 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 305 | $4K |
| 0072A | <1% | 101 | $4K | |
| 90677 | <1% | 67 | $4K | |
| 90656 | <1% | 229 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 502 | $3K |
| 3008F | <1% | 3,240 | $3K | |
| 90685 | <1% | 220 | $3K | |
| 97802 | <1% | 1,124 | $2K | |
| 90480 | <1% | 152 | $2K | |
| 90698 | <1% | 71 | $2K | |
| 90680 | <1% | 69 | $2K | |
| 90619 | <1% | 18 | $2K | |
| 90697 | <1% | 27 | $1K | |
| 90716 | <1% | 38 | $1K | |
| 0001A | <1% | 30 | $1K | |
| 90633 | <1% | 80 | $1K | |
| 0002A | <1% | 29 | $1K | |
| 91321 | <1% | 58 | $1K | |
| 90707 | <1% | 39 | $878.59 | |
| 99000 | <1% | 299 | $739.77 | |
| 90621 | <1% | 13 | $582.05 | |
| 0112A | <1% | 17 | $581.84 | |
| 0111A | <1% | 13 | $501.71 | |
| 90734 | <1% | 14 | $401.54 | |
| 81002 | <1% | 93 | $269.38 | |
| 83718 | <1% | 30 | $257.60 | |
| 90715 | <1% | 14 | $251.68 | |
| 90744 | <1% | 13 | $201.15 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 252 | $192.98 |
| 96161 | <1% | 149 | $143.51 | |
| 82465 | <1% | 30 | $140.84 | |
| 99072 | <1% | 3,200 | $140.00 | |
| 86580 | <1% | 15 | $132.00 | |
| 85018 | <1% | 67 | $126.88 | |
| 36416 | <1% | 280 | $86.45 | |
| 99051 | <1% | 12 | $30.00 | |
| 96160 | <1% | 12 | $11.35 | |
| 91300 | <1% | 50 | $0.37 |
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 officialGANDHI, HIREN (OWNER)