Premiere Childrens Physicans, PA
Premiere Childrens Physicans, PA was paid $2.69M by Medicaid between Jul 2018 and Dec 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoPREMIERE CHILDRENS PHYSICANS, PA
ELKTON, MD 21921
ELKTON, MD 21921
33aNPI1235461039assigned 02/03/2010
33bProvider typeSpecialist
28Total paid$2.69M
24GClaims61,150
24DCodes billed39
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#17 of 218
Median peer was paid$88K
This provider vs. median31×
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 | 74 | $3K | |
| 2019 | 15 | $1K | |
| 2020 | 12,412 | $466K | |
| 2021 | 11,024 | $476K | |
| 2022 | 13,393 | $572K | |
| 2023 | 12,870 | $597K | |
| 2024incomplete | 11,362 | $577K |
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 | 41% | 13,369 | 11,469 | $1.10M |
| 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 | 12% | 2,657 | 2,358 | $319K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 2,782 | 2,636 | $288K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.0% | 2,547 | 2,302 | $244K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.8% | 2,014 | 1,923 | $211K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.3% | 1,014 | 951 | $115K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.6% | 8,466 | 7,660 | $70K |
| 92551 | 1.6% | 4,543 | 4,292 | $42K | |
| 90648 | 1.5% | 1,843 | 1,747 | $40K | |
| 90670 | 1.3% | 1,479 | 1,400 | $35K | |
| 90723 | 1.1% | 1,401 | 1,317 | $31K | |
| 90677 | 1.0% | 367 | 348 | $28K |
27 more codes
| 90633 | <1% | 947 | $21K | |
| 90707 | <1% | 879 | $19K | |
| 90716 | <1% | 809 | $18K | |
| 99381 | <1% | 147 | $14K | |
| 90681 | <1% | 580 | $13K | |
| 90686 | <1% | 617 | $13K | |
| 99173 | <1% | 4,631 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 4,176 | $9K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 566 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 2,706 | $7K |
| 90734 | <1% | 313 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 493 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 98 | $6K |
| 90696 | <1% | 217 | $5K | |
| 90700 | <1% | 111 | $3K | |
| 90651 | <1% | 95 | $2K | |
| 90715 | <1% | 87 | $2K | |
| 99442 | <1% | 120 | $2K | |
| 99383 | <1% | 19 | $2K | |
| 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% | 60 | $966.69 |
| D1206 | Topical application of fluoride varnish | <1% | 24 | $598.08 |
| 99051 | <1% | 23 | $195.38 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 321 | $139.50 |
| 36416 | <1% | 546 | $84.00 | |
| 84030 | <1% | 14 | $62.42 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $18.00 |
| 90474 | 0% | 57 | $0.00 |
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 officialHORRELL, LESTER (OWNER/PHYSICIAN)