Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CAMBRIDGE PEDIATRICS, LLC

NPI: 1154462943 · WALDORF, MD 20602 · Pediatrics Physician · NPI assigned 02/12/2007

$3.55M
Total Medicaid Paid
88,029
Total Claims
78,556
Beneficiaries
50
Codes Billed
2018-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialABNEY, DIANNA (MANAGING PARTNER)
NPI Enumeration Date02/12/2007

Related Entities

Other providers sharing the same authorized official: ABNEY, DIANNA

ProviderCityStateTotal Paid
CHARLES COUNTY DEPARTMENT OF HEALTH WHITE PLAINS MD $1.48M
CHARLES COUNTY DEPARTMENT OF HEALTH WHITE PLAINS MD $1.05M
CHARLES COUNTY HEALTH DEPARTMENT WHITE PLAINS MD $600K
CHARLES COUNTY DEPARTMENT OF HEALTH WHITE PLAINS MD $227K
CHARLES COUNTY HEALTH DEPARTMENT WHITE PLAINS MD $152K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106 $4K
2019 64 $2K
2020 14,317 $600K
2021 16,263 $652K
2022 17,806 $698K
2023 19,717 $825K
2024 19,756 $767K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,116 12,196 $1.11M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,702 4,255 $542K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,718 3,560 $389K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,507 3,300 $364K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,365 2,921 $311K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,293 2,128 $258K
96110 Developmental screening, with scoring and documentation, per standardized instrument 8,502 6,625 $81K
92551 8,020 7,407 $75K
90686 3,225 2,934 $67K
90698 1,912 1,767 $41K
90670 1,800 1,656 $38K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 819 719 $31K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,593 1,452 $26K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,037 801 $22K
D1206 Topical application of fluoride varnish 837 821 $21K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 441 383 $17K
99173 6,872 6,356 $17K
96161 5,978 5,340 $16K
90633 736 700 $16K
90680 708 643 $15K
96127 3,150 2,898 $14K
90744 463 429 $10K
90710 331 314 $7K
96160 2,784 2,522 $7K
99051 941 747 $7K
0071A 212 180 $7K
90651 276 252 $6K
90677 263 229 $5K
90734 261 243 $5K
0072A 145 134 $5K
87428 136 122 $4K
90656 163 156 $4K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 216 184 $2K
90619 77 68 $2K
90715 67 62 $1K
90661 77 76 $1K
1000F 1,792 1,656 $1K
87807 93 82 $938.71
83655 64 61 $681.39
99050 65 61 $666.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 18 18 $423.72
81003 467 409 $358.32
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 15 15 $351.90
85018 63 60 $138.26
4145F 53 51 $136.92
85014 50 47 $113.90
99174 16 12 $55.64
G9920 Screening performed and negative 1,280 1,221 $12.35
G8510 Screening for depression is documented as negative, a follow-up plan is not required 268 262 $0.00
99000 42 21 $0.00