Medicaid Provider Spending

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

PIEDMONT PEDIATRICS, PLC

NPI: 1205802402 · WARRENTON, VA 20186 · Pediatrics Physician · NPI assigned 02/27/2006

$2.74M
Total Medicaid Paid
71,129
Total Claims
66,463
Beneficiaries
42
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFITZWATER, BECKY (BUSINESS MANAGER)
NPI Enumeration Date02/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 10,245 $406K
2019 13,105 $462K
2020 7,459 $302K
2021 7,658 $311K
2022 9,435 $405K
2023 11,745 $440K
2024 11,482 $417K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,423 16,499 $1.02M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,345 9,800 $845K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,545 2,494 $195K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,105 2,052 $158K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,110 7,859 $109K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,191 1,157 $86K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,038 1,004 $84K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3,328 1,633 $45K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 1,139 1,129 $41K
90686 3,424 3,366 $40K
99000 11,200 10,627 $32K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 524 512 $20K
90670 638 624 $17K
90651 190 177 $6K
90460 Immunization administration through 18 years of age via any route, first or only component 2,595 2,507 $6K
99177 1,392 1,356 $5K
92552 181 180 $5K
90656 245 245 $3K
90633 243 233 $3K
90698 198 195 $3K
36415 Collection of venous blood by venipuncture 905 863 $3K
90685 188 186 $2K
96127 413 258 $2K
90677 39 39 $2K
0001A 43 43 $2K
0002A 38 38 $2K
0072A 38 38 $1K
90707 68 62 $1K
90680 79 79 $1K
90734 56 52 $1K
0071A 26 26 $1K
90716 44 41 $911.81
90461 703 679 $910.03
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 76 71 $849.61
90619 30 29 $840.72
90744 67 66 $751.68
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 33 27 $553.29
90700 16 16 $203.42
85018 59 57 $156.06
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $109.68
94760 60 56 $90.76
36416 82 76 $43.05