Pediatrix Medical Group of the Mid-Atlantic PC
Pediatrix Medical Group of the Mid-Atlantic PC was paid $28.34M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 20% of everything it billed.
ROCKVILLE, MD 20850
Next to other Maternal & Fetal Medicine Physician providers in Maryland
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,787 | $426K | |
| 2019 | 8,623 | $359K | |
| 2020 | 65,738 | $4.65M | |
| 2021 | 77,427 | $5.07M | |
| 2022 | 69,027 | $4.87M | |
| 2023 | 73,619 | $6.00M | |
| 2024incomplete | 85,678 | $6.96M |
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 | 20% | 72,499 | 52,767 | $5.79M |
| 76819 | Fetal biophysical profile; without non-stress testing | 15% | 58,181 | 39,197 | $4.26M |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 12% | 32,960 | 28,383 | $3.31M |
| 76820 | 9.7% | 59,860 | 41,356 | $2.74M | |
| 93976 | 7.9% | 15,775 | 14,306 | $2.25M | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | 5.7% | 10,541 | 9,577 | $1.60M |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 5.6% | 17,727 | 15,595 | $1.59M |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | 5.2% | 23,373 | 16,720 | $1.47M |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | 3.5% | 14,714 | 12,273 | $986K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 2.7% | 11,379 | 10,356 | $773K |
| 76801 | 2.3% | 7,388 | 6,455 | $662K | |
| 92586 | 2.2% | 10,740 | 9,725 | $621K |
28 more codes
| 76821 | 2.1% | 7,928 | $600K | |
| 76813 | 1.7% | 5,408 | $481K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 1.2% | 2,877 | $327K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,420 | $264K |
| 93000 | <1% | 8,766 | $111K | |
| 93320 | <1% | 3,030 | $85K | |
| 93325 | <1% | 6,206 | $74K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 445 | $69K |
| 92650 | <1% | 2,515 | $50K | |
| 99241 | <1% | 1,228 | $50K | |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps) | <1% | 41 | $28K |
| 99243 | <1% | 284 | $27K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 237 | $25K |
| 76825 | <1% | 102 | $19K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 154 | $13K |
| 59514 | <1% | 16 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,240 | $11K |
| 99242 | <1% | 108 | $8K | |
| 76827 | <1% | 115 | $6K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 17 | $2K |
| S9460 | Diabetic management program, nurse visit | <1% | 79 | $2K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 18 | $1K |
| 76810 | <1% | 15 | $1K | |
| 92585 | <1% | 38 | $1K | |
| 92567 | <1% | 70 | $628.63 | |
| 81002 | <1% | 223 | $440.27 | |
| 99072 | <1% | 3,110 | $195.00 | |
| 98960 | <1% | 72 | $76.70 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.