Pediatric Health Partners,pllc

Pediatric Health Partners,pllc was paid $207K by Medicaid between Aug 2018 and Feb 2023, across 14 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoPEDIATRIC HEALTH PARTNERS,PLLC
PORTSMOUTH, VA 23707

33aNPI1164574950assigned 01/18/2007

33bProvider typeClinic/Center

28Total paid$207K

24GClaims8,828

24DCodes billed14

24AFirst – last monthAug 2018 – Feb 2023

Compared with peers

Next to other Clinic/Center providers in Virginia

Rank by total paid#20 of 50

Median peer was paid$120K

This provider vs. median1.7×

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	728	$14K
2019	2,516	$57K
2020	994	$29K
2021	1,946	$41K
2022	2,190	$57K
2023	454	$10K

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	80%	3,570	2,755	$167K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	4.4%	141	116	$9K
92551		3.9%	984	839	$8K
90686		3.6%	824	698	$8K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.6%	156	145	$5K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	2.0%	53	50	$4K
81002		1.2%	1,110	947	$3K
99173		<1%	946	806	$2K
85013		<1%	313	257	$670.94
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	78	72	$562.65
99000		<1%	276	217	$244.98
36416		<1%	337	281	$202.47

2 more codes

96127		<1%	28	$123.29
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	12	$85.05

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 officialSOLORIA, PERLA (PHYSICIAN)