Physician
Shady Grove Pediatrics, PC
Shady Grove Pediatrics, PC was paid $966K by Medicaid between Jan 2018 and Dec 2024, across 44 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoSHADY GROVE PEDIATRICS, PC
KING GEORGE, VA 22485
KING GEORGE, VA 22485
33aNPI1285064758assigned 11/20/2013
33bProvider typePediatrics Physician
28Total paid$966K
24GClaims34,381
24DCodes billed44
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#119 of 817
Median peer was paid$29K
This provider vs. median33×
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 | 4,334 | $115K | |
| 2019 | 7,582 | $187K | |
| 2020 | 5,539 | $131K | |
| 2021 | 4,909 | $132K | |
| 2022 | 4,204 | $133K | |
| 2023 | 4,666 | $142K | |
| 2024incomplete | 3,147 | $126K |
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 | 29% | 3,560 | 3,103 | $276K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 4,194 | 3,606 | $225K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,390 | 1,298 | $102K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 1,519 | 1,255 | $93K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 735 | 679 | $52K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.4% | 418 | 395 | $33K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.4% | 3,038 | 2,741 | $23K |
| 90670 | 1.9% | 932 | 803 | $18K | |
| 90651 | 1.2% | 301 | 266 | $11K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 4,265 | 3,509 | $11K |
| 90686 | 1.1% | 967 | 869 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 321 | 262 | $9K |
32 more codes
| 90710 | <1% | 228 | $8K | |
| 90677 | <1% | 111 | $8K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 626 | $7K |
| 90734 | <1% | 239 | $7K | |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | <1% | 138 | $7K |
| 90671 | <1% | 88 | $6K | |
| 92551 | <1% | 583 | $5K | |
| 90723 | <1% | 426 | $5K | |
| 99173 | <1% | 2,144 | $5K | |
| 90672 | <1% | 392 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 345 | $4K |
| 90633 | <1% | 307 | $4K | |
| 90697 | <1% | 89 | $4K | |
| 90680 | <1% | 254 | $4K | |
| 90461 | <1% | 2,067 | $3K | |
| 99000 | <1% | 1,832 | $3K | |
| 90647 | <1% | 308 | $3K | |
| 90688 | <1% | 201 | $2K | |
| 87430 | <1% | 262 | $2K | |
| 90715 | <1% | 117 | $2K | |
| 85018 | <1% | 578 | $1K | |
| 90696 | <1% | 84 | $1K | |
| 90685 | <1% | 145 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 15 | $922.98 |
| 99381 | <1% | 21 | $734.84 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 12 | $440.56 |
| 90473 | <1% | 664 | $396.30 | |
| 90687 | <1% | 12 | $120.82 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 107 | $71.80 |
| 36416 | <1% | 311 | $40.74 | |
| 81000 | <1% | 19 | $32.78 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 16 | $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 officialZAVELSKY, ILYA (PHYSICIAN/OWNER)