Physician
Pediatric Associates of Prince William County, LLC
Pediatric Associates of Prince William County, LLC was paid $2.47M by Medicaid between Jan 2018 and Aug 2023, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 42% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF PRINCE WILLIAM COUNTY, LLC
MANASSAS, VA 20110
MANASSAS, VA 20110
33aNPI1053592204assigned 11/15/2007
33bProvider typePediatrics Physician
28Total paid$2.47M
24GClaims70,628
24DCodes billed40
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#76 of 817
Median peer was paid$29K
This provider vs. median84×
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 | 11,960 | $331K | |
| 2019 | 13,037 | $412K | |
| 2020 | 10,006 | $366K | |
| 2021 | 11,565 | $459K | |
| 2022 | 15,116 | $577K | |
| 2023 | 8,944 | $321K |
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 | 42% | 19,163 | 14,360 | $1.03M |
| 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 | 30% | 8,650 | 7,574 | $728K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.0% | 2,087 | 2,050 | $149K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 2,028 | 1,988 | $148K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.1% | 1,314 | 1,300 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.6% | 985 | 931 | $65K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 3,245 | 1,530 | $40K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 3,114 | 2,857 | $36K |
| 90670 | 1.3% | 1,269 | 1,209 | $32K | |
| 90651 | <1% | 419 | 414 | $15K | |
| 96127 | <1% | 3,013 | 2,806 | $14K | |
| 90716 | <1% | 614 | 599 | $13K |
28 more codes
| 90707 | <1% | 569 | $9K | |
| 90688 | <1% | 751 | $9K | |
| 90700 | <1% | 778 | $9K | |
| 99173 | <1% | 4,293 | $8K | |
| 90633 | <1% | 676 | $8K | |
| 99000 | <1% | 3,526 | $7K | |
| 90680 | <1% | 428 | $6K | |
| 90734 | <1% | 236 | $6K | |
| 90698 | <1% | 360 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,941 | $4K |
| 90744 | <1% | 339 | $4K | |
| 90713 | <1% | 313 | $3K | |
| 90619 | <1% | 78 | $3K | |
| 90461 | <1% | 2,455 | $3K | |
| 90648 | <1% | 212 | $2K | |
| 90715 | <1% | 178 | $2K | |
| 99383 | <1% | 12 | $991.33 | |
| 97802 | <1% | 2,225 | $793.80 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 41 | $598.00 |
| 90687 | <1% | 22 | $284.84 | |
| 81003 | <1% | 114 | $162.05 | |
| 90685 | <1% | 15 | $100.72 | |
| 99070 | <1% | 113 | $100.00 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 40 | $58.04 |
| 97803 | <1% | 1,136 | $26.81 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 40 | $1.55 |
| 3011F | <1% | 287 | $0.25 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 549 | $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 officialJOHNSON, ADONIA (DIRECTOR)