NP / PA
Associates in Pediatric Care-Hampton, LLC
Associates in Pediatric Care-Hampton, LLC was paid $2.27M by Medicaid between May 2020 and Dec 2024, across 51 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoASSOCIATES IN PEDIATRIC CARE-HAMPTON, LLC
HAMPTON, VA 23666
HAMPTON, VA 23666
33aNPI1134751381assigned 02/05/2020
33bProvider typePediatric Nurse Practitioner
28Total paid$2.27M
24GClaims69,386
24DCodes billed51
24AFirst – last monthMay 2020 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Virginia
Rank by total paid#1 of 74
Median peer was paid$5K
This provider vs. median489×
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 | |
|---|---|---|---|
| 2020 | 8,211 | $226K | |
| 2021 | 14,639 | $479K | |
| 2022 | 16,417 | $563K | |
| 2023 | 15,425 | $494K | |
| 2024incomplete | 14,694 | $503K |
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 | 40% | 15,887 | 14,218 | $900K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 2,353 | 2,208 | $170K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 2,488 | 2,148 | $163K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.2% | 2,210 | 2,133 | $162K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.8% | 1,646 | 1,585 | $131K |
| 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 | 4.5% | 1,292 | 1,179 | $103K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.4% | 879 | 622 | $99K |
| 92551 | 2.7% | 6,659 | 6,364 | $61K | |
| 90671 | 1.9% | 570 | 529 | $43K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 1.7% | 1,215 | 1,094 | $38K |
| 90651 | 1.6% | 1,144 | 1,089 | $36K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.3% | 2,452 | 1,113 | $29K |
39 more codes
| 90697 | 1.3% | 783 | $29K | |
| 96127 | 1.2% | 5,969 | $27K | |
| 90670 | 1.1% | 1,453 | $26K | |
| 99383 | <1% | 277 | $21K | |
| 99384 | <1% | 243 | $21K | |
| 90686 | <1% | 1,774 | $20K | |
| 90734 | <1% | 780 | $17K | |
| 99173 | <1% | 6,815 | $15K | |
| 90710 | <1% | 482 | $15K | |
| 90620 | <1% | 436 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 403 | $15K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,781 | $15K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,054 | $13K |
| 90633 | <1% | 805 | $11K | |
| 99188 | <1% | 572 | $10K | |
| 90681 | <1% | 170 | $8K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 807 | $7K |
| 90648 | <1% | 631 | $6K | |
| 90680 | <1% | 473 | $6K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 309 | $5K |
| 99382 | <1% | 79 | $5K | |
| 97802 | <1% | 64 | $5K | |
| 96161 | <1% | 2,259 | $5K | |
| 90723 | <1% | 314 | $4K | |
| 99381 | <1% | 34 | $2K | |
| 90715 | <1% | 175 | $2K | |
| 87807 | <1% | 179 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $2K |
| 90696 | <1% | 88 | $1K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 262 | $692.19 |
| 81002 | <1% | 191 | $475.98 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 392 | $352.34 |
| 96160 | <1% | 122 | $263.10 | |
| 90700 | <1% | 17 | $254.40 | |
| 90461 | <1% | 136 | $188.94 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 196 | $124.02 |
| 90698 | <1% | 23 | $99.00 | |
| 90474 | <1% | 14 | $9.87 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 12 | $0.52 |
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 officialSTAPLETON, MACY (OWNER)