Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Norfolk › NPI 1093713976
Physician

North Shore Pediatrics

North Shore Pediatrics was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 23% of everything it billed.

33Billing provider infoNORTH SHORE PEDIATRICS
NORFOLK, VA 23505
33aNPI1093713976assigned 07/13/2005
33bProvider typePediatrics Physician
28Total paid$2.40M
24GClaims76,686
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#79 of 817
Median peer was paid$29K
This provider vs. median82×

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$20K$40K$60K2018201920202021202220232024
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
20189,066$273K
201913,547$432K
202012,142$390K
202112,386$363K
202210,942$323K
202311,686$352K
2024incomplete6,917$263K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 23% 6,469 6,028 $544K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 21% 8,767 7,980 $502K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.2% 2,784 2,726 $219K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.9% 2,668 2,603 $213K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.5% 2,856 2,201 $204K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5.1% 1,415 1,390 $122K
92551 2.5% 5,984 5,838 $60K
99308 Subsequent nursing facility care, per day, straightforward 2.4% 1,253 942 $59K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2.4% 6,649 6,403 $57K
99309 Subsequent nursing facility care, per day, low to moderate complexity 2.4% 931 921 $57K
90670 1.5% 1,918 1,795 $36K
90651 1.5% 685 661 $36K
34 more codes
90710 1.3% 1,051 $31K
90633 <1% 1,669 $22K
85018 <1% 8,192 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 577 $19K
99215 Doctor's office visit, returning patient (complex) <1% 163 $17K
90698 <1% 1,121 $16K
99173 <1% 6,195 $15K
90671 <1% 124 $14K
99383 <1% 141 $12K
90686 <1% 990 $12K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 858 $12K
90619 <1% 197 $12K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 703 $11K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 777 $11K
90744 <1% 812 $10K
90697 <1% 170 $9K
90734 <1% 353 $8K
96127 <1% 1,472 $7K
90715 <1% 369 $5K
90696 <1% 350 $5K
99381 <1% 64 $4K
99384 <1% 44 $4K
36416 <1% 6,979 $3K
90680 <1% 91 $2K
99382 <1% 26 $2K
81002 <1% 620 $2K
90700 <1% 51 $586.95
94010 <1% 17 $503.38
90648 <1% 28 $290.48
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 14 $228.80
90460 Immunization administration through 18 years of age via any route, first or only component <1% 49 $121.57
94760 <1% 14 $9.36
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 13 $7.26
A4620 Variable concentration mask <1% 13 $2.19

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 officialLAWTON, CHRISTINA (MANAGER)