Clinic
Hispanic American Pediatrics & Family Care LLC
Hispanic American Pediatrics & Family Care LLC was paid $1.14M by Medicaid between Aug 2021 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoHISPANIC AMERICAN PEDIATRICS & FAMILY CARE LLC
WALDORF, MD 20601
WALDORF, MD 20601
33aNPI1093313652assigned 10/15/2020
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.14M
24GClaims29,355
24DCodes billed44
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Maryland
Rank by total paid#10 of 37
Median peer was paid$471K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2021 | 396 | $22K | |
| 2022 | 4,469 | $156K | |
| 2023 | 11,217 | $416K | |
| 2024incomplete | 13,273 | $546K |
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 | 37% | 4,546 | 3,888 | $426K |
| 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 | 11% | 940 | 833 | $126K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 8.9% | 2,363 | 2,164 | $101K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.1% | 825 | 692 | $81K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.5% | 653 | 614 | $74K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.3% | 540 | 525 | $60K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 4.2% | 4,445 | 2,043 | $48K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 288 | 283 | $32K |
| 90677 | 2.5% | 279 | 259 | $29K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.6% | 1,469 | 1,367 | $19K |
| D1206 | Topical application of fluoride varnish | 1.3% | 601 | 585 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 1,634 | 1,489 | $14K |
32 more codes
| 90686 | 1.2% | 602 | $14K | |
| 92551 | <1% | 1,141 | $11K | |
| 90647 | <1% | 481 | $11K | |
| 96127 | <1% | 1,633 | $7K | |
| 87807 | <1% | 660 | $7K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 58 | $7K |
| 90723 | <1% | 316 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 53 | $6K |
| 90633 | <1% | 231 | $5K | |
| 90670 | <1% | 227 | $5K | |
| 90680 | <1% | 220 | $5K | |
| 99173 | <1% | 1,648 | $4K | |
| 90716 | <1% | 158 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,288 | $3K |
| 90707 | <1% | 118 | $3K | |
| 90656 | <1% | 108 | $2K | |
| 96161 | <1% | 966 | $2K | |
| 99384 | <1% | 14 | $2K | |
| 90619 | <1% | 29 | $2K | |
| 90700 | <1% | 55 | $1K | |
| 90651 | <1% | 46 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 48 | $1K |
| 90661 | <1% | 39 | $1K | |
| 81002 | <1% | 346 | $791.98 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $742.08 |
| 90713 | <1% | 22 | $512.16 | |
| 90715 | <1% | 19 | $457.79 | |
| 90621 | <1% | 20 | $419.04 | |
| W7000 | <1% | 76 | $370.08 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 88 | $114.74 |
| 36416 | <1% | 31 | $3.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 18 | $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 officialBUSTAMANTE SANCHEZ, LETICIA (CRNP)