Physician
New Heights Pediatrics, LLC
New Heights Pediatrics, LLC was paid $60K by Medicaid between Oct 2019 and Nov 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 75% of everything it billed.
33Billing provider infoNEW HEIGHTS PEDIATRICS, LLC
KING GEORGE, VA 22485
KING GEORGE, VA 22485
33aNPI1013479682assigned 04/03/2019
33bProvider typePediatrics Physician
28Total paid$60K
24GClaims3,439
24DCodes billed16
24AFirst – last monthOct 2019 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#302 of 817
Median peer was paid$29K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2019 | 14 | $0.00 | |
| 2020 | 117 | $160.29 | |
| 2021 | 911 | $8K | |
| 2022 | 1,111 | $13K | |
| 2023 | 900 | $23K | |
| 2024incomplete | 386 | $15K |
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 | 75% | 866 | 758 | $45K |
| 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 | 12% | 107 | 84 | $7K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 5.0% | 825 | 699 | $3K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.6% | 41 | 29 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 71 | 55 | $599.70 |
| 90686 | <1% | 53 | 50 | $587.97 | |
| 92551 | <1% | 26 | 24 | $246.27 | |
| 96127 | <1% | 49 | 30 | $211.04 | |
| 90688 | <1% | 23 | 17 | $143.30 | |
| 90461 | <1% | 77 | 70 | $133.12 | |
| 99000 | <1% | 246 | 198 | $88.54 | |
| 99072 | <1% | 964 | 819 | $65.30 |
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 officialMCCRAY, AYANNA (MD)