Physician
Whole Child Pediatrics
Whole Child Pediatrics was paid $1.58M by Medicaid between Jan 2018 and Nov 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 53% of everything it billed.
33Billing provider infoWHOLE CHILD PEDIATRICS
ASHBURN, VA 20147
ASHBURN, VA 20147
33aNPI1093952277assigned 01/09/2009
33bProvider typePediatrics Physician
28Total paid$1.58M
24GClaims57,437
24DCodes billed51
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#101 of 817
Median peer was paid$29K
This provider vs. median54×
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 | 2,976 | $122K | |
| 2019 | 5,709 | $139K | |
| 2020 | 5,606 | $111K | |
| 2021 | 9,757 | $195K | |
| 2022 | 11,155 | $322K | |
| 2023 | 11,699 | $364K | |
| 2024incomplete | 10,535 | $323K |
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 | 53% | 11,180 | 9,534 | $841K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 5,321 | 4,637 | $279K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 5.0% | 2,034 | 1,829 | $79K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.4% | 1,035 | 945 | $70K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.1% | 875 | 681 | $49K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 3.0% | 1,510 | 1,377 | $47K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 488 | 435 | $32K |
| 92551 | 1.2% | 2,354 | 2,097 | $20K | |
| 90686 | 1.1% | 1,770 | 1,457 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 643 | 580 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 196 | 179 | $14K |
| 90671 | <1% | 258 | 231 | $14K |
39 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,041 | $11K |
| 96160 | <1% | 7,040 | $10K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 5,048 | $10K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 1,163 | $9K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 1,500 | $9K |
| 90670 | <1% | 74 | $4K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 129 | $4K |
| 99000 | <1% | 1,618 | $4K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 30 | $4K |
| 96127 | <1% | 724 | $3K | |
| 90461 | <1% | 1,819 | $3K | |
| 0002A | <1% | 83 | $3K | |
| 0001A | <1% | 92 | $3K | |
| 99381 | <1% | 56 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 30 | $2K |
| 99173 | <1% | 1,299 | $2K | |
| 99174 | <1% | 411 | $2K | |
| 90651 | <1% | 46 | $2K | |
| 90619 | <1% | 47 | $2K | |
| 90633 | <1% | 120 | $2K | |
| 90656 | <1% | 118 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 143 | $1K |
| 87807 | <1% | 84 | $965.52 | |
| 90697 | <1% | 48 | $944.68 | |
| 99051 | <1% | 1,727 | $850.10 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,198 | $785.61 |
| 99070 | <1% | 72 | $720.00 | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 235 | $660.00 |
| 85018 | <1% | 246 | $411.40 | |
| 97802 | <1% | 49 | $390.00 | |
| 94760 | <1% | 952 | $340.81 | |
| 90698 | <1% | 12 | $309.66 | |
| 99072 | <1% | 1,966 | $309.40 | |
| 90680 | <1% | 20 | $296.76 | |
| 99188 | <1% | 13 | $228.69 | |
| 96161 | <1% | 192 | $187.04 | |
| 90681 | <1% | 16 | $154.00 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 19 | $88.00 |
| 36416 | <1% | 293 | $20.60 |
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 officialSOKOLOW, JONATHAN (PRESIDENT)