Clinic
Pediatric Consultants of Hampton Roads
Pediatric Consultants of Hampton Roads was paid $2.23M by Medicaid between Jan 2018 and Dec 2024, across 57 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoPEDIATRIC CONSULTANTS OF HAMPTON ROADS
NEWPORT NEWS, VA 23602
NEWPORT NEWS, VA 23602
33aNPI1235222571assigned 10/01/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$2.23M
24GClaims57,169
24DCodes billed57
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#7 of 80
Median peer was paid$108K
This provider vs. median21×
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 | 3,072 | $157K | |
| 2019 | 6,823 | $329K | |
| 2020 | 5,722 | $247K | |
| 2021 | 7,028 | $273K | |
| 2022 | 10,150 | $399K | |
| 2023 | 12,416 | $418K | |
| 2024incomplete | 11,958 | $405K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 36% | 9,050 | 8,299 | $809K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 29% | 10,633 | 9,643 | $635K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 6.2% | 4,335 | 4,003 | $138K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.1% | 1,449 | 1,389 | $114K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 1,035 | 965 | $76K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.3% | 963 | 934 | $74K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.3% | 3,653 | 1,979 | $51K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.3% | 5,866 | 5,249 | $51K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.8% | 2,830 | 2,679 | $40K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.7% | 486 | 452 | $38K |
| 92551 | 1.4% | 3,255 | 3,084 | $32K | |
| 99402 | <1% | 523 | 129 | $22K |
45 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 110 | $15K |
| 90633 | <1% | 959 | $13K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 765 | $13K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 342 | $12K |
| 90651 | <1% | 275 | $12K | |
| 90619 | <1% | 208 | $10K | |
| 90670 | <1% | 453 | $10K | |
| 96127 | <1% | 1,715 | $8K | |
| 99173 | <1% | 2,771 | $7K | |
| 99174 | <1% | 1,066 | $5K | |
| 90677 | <1% | 216 | $5K | |
| 83655 | <1% | 430 | $5K | |
| 87807 | <1% | 379 | $5K | |
| 90698 | <1% | 215 | $4K | |
| 90688 | <1% | 318 | $4K | |
| 90697 | <1% | 108 | $2K | |
| 0071A | <1% | 46 | $2K | |
| 90686 | <1% | 155 | $2K | |
| 0072A | <1% | 46 | $2K | |
| 81002 | <1% | 512 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 138 | $1K |
| 85018 | <1% | 559 | $1K | |
| 99383 | <1% | 16 | $1K | |
| 90710 | <1% | 34 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 480 | $759.60 |
| 90734 | <1% | 25 | $639.71 | |
| 0002A | <1% | 16 | $600.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 144 | $540.60 |
| 90716 | <1% | 24 | $540.03 | |
| 90381 | <1% | 76 | $526.02 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 62 | $496.20 |
| 99401 | <1% | 19 | $476.27 | |
| 90744 | <1% | 32 | $386.55 | |
| 90715 | <1% | 28 | $349.59 | |
| 90658 | <1% | 36 | $349.26 | |
| 90707 | <1% | 12 | $282.27 | |
| 96380 | <1% | 18 | $256.98 | |
| 90700 | <1% | 18 | $236.52 | |
| 90685 | <1% | 15 | $184.32 | |
| 90648 | <1% | 14 | $161.62 | |
| 90696 | <1% | 13 | $112.20 | |
| 90461 | <1% | 89 | $54.40 | |
| 36416 | <1% | 16 | $3.07 | |
| 91307 | <1% | 97 | $0.88 | |
| 91300 | <1% | 21 | $0.20 |
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 officialVANDEN HOEK, TIEN (PARTNER)