Physician
First Choice Pediatrics INC
First Choice Pediatrics INC was paid $2.44M by Medicaid between Jan 2020 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoFIRST CHOICE PEDIATRICS INC
HAGERSTOWN, MD 21742
HAGERSTOWN, MD 21742
33aNPI1033498589assigned 08/15/2011
33bProvider typePediatrics Physician
28Total paid$2.44M
24GClaims43,244
24DCodes billed36
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#49 of 306
Median peer was paid$206K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 7,902 | $347K | |
| 2021 | 7,904 | $416K | |
| 2022 | 8,934 | $544K | |
| 2023 | 9,358 | $582K | |
| 2024incomplete | 9,146 | $549K |
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 | 45% | 12,512 | 10,242 | $1.09M |
| 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 | 13% | 2,613 | 2,432 | $310K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,425 | 2,343 | $259K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 1,990 | 1,918 | $213K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.8% | 1,705 | 1,608 | $166K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.6% | 735 | 714 | $87K |
| 90686 | 1.8% | 2,002 | 1,854 | $43K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 2,652 | 2,445 | $33K |
| 90698 | 1.4% | 1,500 | 1,424 | $33K | |
| 92551 | 1.3% | 3,291 | 3,161 | $31K | |
| 90670 | 1.1% | 1,248 | 1,198 | $27K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 1,884 | 1,788 | $25K |
24 more codes
| 90680 | <1% | 900 | $20K | |
| 90633 | <1% | 757 | $17K | |
| 92567 | <1% | 839 | $14K | |
| 90716 | <1% | 511 | $11K | |
| 90707 | <1% | 475 | $11K | |
| 90744 | <1% | 403 | $9K | |
| 90677 | <1% | 275 | $9K | |
| 99173 | <1% | 2,210 | $6K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 439 | $5K |
| 90656 | <1% | 216 | $5K | |
| 90651 | <1% | 181 | $4K | |
| 90734 | <1% | 136 | $3K | |
| 90696 | <1% | 86 | $2K | |
| 36406 | <1% | 89 | $1K | |
| 90715 | <1% | 55 | $1K | |
| 90710 | <1% | 46 | $977.76 | |
| 90681 | <1% | 37 | $791.52 | |
| 90658 | <1% | 32 | $735.12 | |
| 90685 | <1% | 40 | $557.26 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 438 | $437.79 |
| 90688 | <1% | 18 | $419.04 | |
| S0119 | Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) | <1% | 47 | $80.35 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 359 | $46.08 |
| 99072 | 0% | 98 | $0.00 |
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 officialMUSTAFA, MAHMOUD (CEO)