Physician
The Children's Clinic of Fredericksburg, PC
The Children's Clinic of Fredericksburg, PC was paid $5.25M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoTHE CHILDREN'S CLINIC OF FREDERICKSBURG, PC
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
33aNPI1083131155assigned 08/29/2017
33bProvider typePediatrics Physician
28Total paid$5.25M
24GClaims169,452
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#29 of 817
Median peer was paid$29K
This provider vs. median179×
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 | 3,385 | $91K | |
| 2019 | 13,068 | $340K | |
| 2020 | 18,469 | $555K | |
| 2021 | 24,210 | $730K | |
| 2022 | 34,868 | $1.02M | |
| 2023 | 39,299 | $1.29M | |
| 2024incomplete | 36,153 | $1.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 15,490 | 13,874 | $1.31M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 14,945 | 13,316 | $854K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 10% | 5,575 | 2,703 | $540K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.7% | 4,318 | 3,638 | $298K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.7% | 3,921 | 3,813 | $297K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.5% | 2,473 | 2,416 | $184K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.0% | 12,798 | 6,252 | $159K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 3,502 | 3,278 | $123K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.2% | 3,875 | 3,705 | $115K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.0% | 949 | 928 | $107K |
| V5008 | Hearing screening | 1.9% | 5,068 | 4,963 | $101K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.9% | 8,087 | 7,655 | $101K |
60 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.8% | 1,195 | $97K |
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 1,069 | $79K |
| 90677 | 1.4% | 733 | $76K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 1.3% | 9,379 | $68K |
| 90670 | 1.1% | 2,456 | $58K | |
| 90710 | 1.0% | 1,518 | $55K | |
| 99215 | Doctor's office visit, returning patient (complex) | 1.0% | 501 | $55K |
| 90723 | <1% | 2,403 | $44K | |
| 99383 | <1% | 470 | $40K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 4,571 | $40K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 9,204 | $38K |
| 90648 | <1% | 3,066 | $33K | |
| 99381 | <1% | 414 | $31K | |
| 90633 | <1% | 1,905 | $26K | |
| 90651 | <1% | 525 | $24K | |
| 90681 | <1% | 1,027 | $23K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 113 | $22K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 56 | $21K |
| 90734 | <1% | 648 | $21K | |
| 99384 | <1% | 188 | $18K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 188 | $18K |
| 99382 | <1% | 214 | $18K | |
| 99000 | <1% | 6,741 | $15K | |
| 90461 | <1% | 5,979 | $15K | |
| 90688 | <1% | 1,198 | $14K | |
| Q3014 | Telehealth originating site facility fee | <1% | 532 | $13K |
| 99173 | <1% | 5,373 | $13K | |
| 90696 | <1% | 611 | $11K | |
| 96127 | <1% | 2,105 | $10K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 541 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 6,511 | $9K |
| 87807 | <1% | 667 | $8K | |
| 99051 | <1% | 10,821 | $6K | |
| 90715 | <1% | 356 | $5K | |
| 90700 | <1% | 381 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 354 | $4K |
| 99058 | <1% | 92 | $3K | |
| 90716 | <1% | 39 | $2K | |
| 90707 | <1% | 65 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $2K |
| 74018 | <1% | 69 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 115 | $1K |
| 90658 | <1% | 77 | $977.05 | |
| 86308 | <1% | 140 | $665.79 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 15 | $656.96 |
| 90687 | <1% | 63 | $615.48 | |
| 99072 | <1% | 159 | $562.30 | |
| 90656 | <1% | 41 | $560.55 | |
| 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% | 121 | $512.68 |
| 99050 | <1% | 50 | $495.91 | |
| 90686 | <1% | 42 | $490.56 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 356 | $434.38 |
| 81003 | <1% | 184 | $226.46 | |
| 36416 | <1% | 2,321 | $171.61 | |
| 93000 | <1% | 12 | $168.58 | |
| 95117 | <1% | 19 | $161.46 | |
| 90744 | <1% | 12 | $132.44 | |
| 81002 | <1% | 74 | $109.65 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 273 | $10.65 |
| 94760 | <1% | 68 | $10.20 |
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 officialPERRY-MARSH, SHASHANNA (PRACTICE ADMINISTRATOR)