Imholt, Megan

Imholt, Megan was paid $98K by Medicaid between Jan 2018 and Oct 2018, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.

33Billing provider infoIMHOLT, MEGAN
HARRISONBURG, VA 22801

33aNPI1134338387assigned 05/22/2007

33bProvider typePediatrics Physician

28Total paid$98K

24GClaims1,964

24DCodes billed18

24AFirst – last monthJan 2018 – Oct 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#242 of 817

Median peer was paid$29K

This provider vs. median3.4×

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
2018	1,964	$98K

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	36%	624	575	$36K
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%	271	263	$23K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	17%	214	214	$17K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	12%	144	143	$12K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.5%	28	28	$2K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	2.0%	26	26	$2K
90686		1.3%	106	106	$1K
90670		1.3%	56	56	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	61	61	$833.61
90698		<1%	52	52	$822.60
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	42	42	$582.81
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	12	$496.86

6 more codes

99173		<1%	149	$375.40
99188		<1%	12	$261.96
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	32	$255.82
90680		<1%	12	$124.30
85018		<1%	18	$50.44
36416		<1%	103	$49.14

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.