Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MD › Rockville › NPI 1073397485
Physician

Rock Creek Pediatrics LLC

Rock Creek Pediatrics LLC was paid $109K by Medicaid between Mar 2024 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 54% of everything it billed.

33Billing provider infoROCK CREEK PEDIATRICS LLC
ROCKVILLE, MD 20850
33aNPI1073397485assigned 08/24/2023
33bProvider typePediatrics Physician
28Total paid$109K
24GClaims2,154
24DCodes billed16
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Maryland

Rank by total paid#173 of 306
Median peer was paid$206K
This provider vs. median0.5×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2024incomplete2,154$109K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 54% 667 527 $58K
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 38% 325 277 $42K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.4% 12 12 $1K
92551 1.3% 163 146 $1K
90658 1.2% 56 56 $1K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1.1% 70 68 $1K
96127 <1% 176 156 $744.18
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 13 12 $742.08
96161 <1% 284 229 $631.56
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 18 12 $542.76
96160 <1% 104 93 $293.62
99173 <1% 83 79 $208.00
4 more codes
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $158.08
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 15 $97.46
99000 <1% 90 $45.00
99001 0% 66 $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 officialGREENE, JULIANNE (NURSE PRACTITIONER)