Physician
Padonia Pediatrics & Medicine, LLC
Padonia Pediatrics & Medicine, LLC was paid $861K by Medicaid between Jan 2020 and Dec 2024, across 36 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoPADONIA PEDIATRICS & MEDICINE, LLC
TIMONIUM, MD 21093
TIMONIUM, MD 21093
33aNPI1285065904assigned 12/05/2013
33bProvider typePediatrics Physician
28Total paid$861K
24GClaims21,536
24DCodes billed36
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#95 of 306
Median peer was paid$206K
This provider vs. median4.2×
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 | |
|---|---|---|---|
| 2020 | 2,224 | $62K | |
| 2021 | 2,985 | $111K | |
| 2022 | 4,142 | $183K | |
| 2023 | 5,623 | $238K | |
| 2024incomplete | 6,562 | $266K |
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 | 25% | 2,507 | 2,303 | $215K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18% | 2,897 | 2,689 | $152K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 1,366 | 1,319 | $148K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 12% | 1,109 | 966 | $99K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.4% | 755 | 742 | $81K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.9% | 282 | 275 | $33K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.5% | 3,165 | 3,001 | $30K |
| 90686 | 3.2% | 1,277 | 1,213 | $28K | |
| 96127 | 1.7% | 3,292 | 3,157 | $15K | |
| 90670 | 1.1% | 442 | 415 | $9K | |
| 90677 | <1% | 148 | 133 | $9K | |
| 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 | <1% | 51 | 44 | $6K |
24 more codes
| 99174 | <1% | 962 | $6K | |
| 90723 | <1% | 228 | $5K | |
| 90647 | <1% | 226 | $4K | |
| 90656 | <1% | 143 | $3K | |
| 90381 | <1% | 14 | $3K | |
| 99173 | <1% | 1,095 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 186 | $3K |
| 90633 | <1% | 58 | $1K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 28 | $1K |
| 90734 | <1% | 44 | $1K | |
| 90661 | <1% | 33 | $880.54 | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 20 | $744.84 |
| 90651 | <1% | 30 | $698.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | $563.38 |
| 81002 | <1% | 241 | $525.23 | |
| 90680 | <1% | 13 | $302.64 | |
| 90710 | <1% | 14 | $279.36 | |
| 94760 | <1% | 173 | $265.03 | |
| 90700 | <1% | 14 | $256.08 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 13 | $170.82 |
| 96161 | <1% | 90 | $130.75 | |
| 81003 | <1% | 27 | $46.20 | |
| 90461 | 0% | 144 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 392 | $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 officialKRAMER, MARIE (OWNER)