Clinic
Plumtree Pediatrics, LLC
Plumtree Pediatrics, LLC was paid $2.22M by Medicaid between Aug 2018 and Dec 2024, across 44 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPLUMTREE PEDIATRICS, LLC
BEL AIR, MD 21015
BEL AIR, MD 21015
33aNPI1093724163assigned 08/06/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.22M
24GClaims69,315
24DCodes billed44
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#7 of 112
Median peer was paid$200K
This provider vs. median11×
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 | 15 | $373.80 | |
| 2020 | 16,145 | $425K | |
| 2021 | 15,662 | $464K | |
| 2022 | 14,794 | $486K | |
| 2023 | 14,459 | $455K | |
| 2024incomplete | 8,240 | $387K |
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 | 38% | 12,385 | 9,253 | $849K |
| 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 | 13% | 2,931 | 2,377 | $298K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10.0% | 2,549 | 1,975 | $221K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.3% | 2,305 | 1,911 | $207K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.0% | 2,353 | 1,714 | $178K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.1% | 1,648 | 1,353 | $157K |
| 92552 | 2.8% | 2,943 | 2,410 | $62K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 3,895 | 2,545 | $27K |
| 90648 | 1.2% | 1,484 | 1,139 | $26K | |
| 90686 | 1.2% | 1,386 | 1,113 | $26K | |
| 90670 | <1% | 953 | 774 | $17K | |
| 90677 | <1% | 171 | 138 | $17K |
32 more codes
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 12,059 | $16K |
| 96127 | <1% | 3,104 | $12K | |
| 90723 | <1% | 655 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,258 | $12K |
| 90734 | <1% | 519 | $10K | |
| 90461 | <1% | 3,052 | $8K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 523 | $8K |
| 90633 | <1% | 420 | $8K | |
| 90710 | <1% | 367 | $7K | |
| 90651 | <1% | 334 | $7K | |
| 99173 | <1% | 2,328 | $5K | |
| 96160 | <1% | 2,079 | $5K | |
| 90688 | <1% | 184 | $3K | |
| 90658 | <1% | 142 | $3K | |
| 90620 | <1% | 98 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 131 | $2K |
| 90680 | <1% | 126 | $2K | |
| 90715 | <1% | 105 | $2K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 109 | $2K |
| 90681 | <1% | 78 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 22 | $925.80 |
| 0071A | <1% | 33 | $886.08 | |
| 96161 | <1% | 366 | $650.73 | |
| 90696 | <1% | 45 | $628.56 | |
| 87807 | <1% | 90 | $617.90 | |
| D1206 | Topical application of fluoride varnish | <1% | 15 | $373.80 |
| 90700 | <1% | 18 | $372.48 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14 | $325.92 |
| 99000 | <1% | 4,245 | $57.71 | |
| 81002 | <1% | 30 | $50.85 | |
| 99072 | 0% | 93 | $0.00 | |
| 36416 | 0% | 1,670 | $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 officialLAZOR, GENEROSA (DIRECTOR)