Clinic
Middlebrook Pediatrics LLC
Middlebrook Pediatrics LLC was paid $1.62M by Medicaid between Jul 2020 and Oct 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider infoMIDDLEBROOK PEDIATRICS LLC
MONTGOMERY VILLAGE, MD 20886
MONTGOMERY VILLAGE, MD 20886
33aNPI1285098137assigned 04/07/2016
33bProvider typePrimary Care Clinic/Center
28Total paid$1.62M
24GClaims44,526
24DCodes billed56
24AFirst – last monthJul 2020 – Oct 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#13 of 112
Median peer was paid$200K
This provider vs. median8.1×
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 | 394 | $140.82 | |
| 2021 | 6,671 | $264K | |
| 2022 | 12,874 | $544K | |
| 2023 | 16,767 | $478K | |
| 2024incomplete | 7,820 | $329K |
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 | 28% | 5,696 | 4,571 | $450K |
| 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 | 17% | 2,500 | 1,996 | $275K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 8.3% | 3,601 | 2,916 | $135K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.3% | 1,401 | 1,185 | $134K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.1% | 1,268 | 1,076 | $115K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.6% | 1,053 | 856 | $91K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.2% | 627 | 506 | $68K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.9% | 1,158 | 926 | $47K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.7% | 1,039 | 834 | $44K |
| 90686 | 1.4% | 1,311 | 1,024 | $22K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 2,696 | 2,173 | $21K |
| 97803 | 1.3% | 1,501 | 1,266 | $21K |
44 more codes
| 92551 | 1.3% | 2,460 | $20K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,714 | $20K |
| 90700 | 1.1% | 899 | $17K | |
| 90713 | <1% | 704 | $14K | |
| 96127 | <1% | 3,367 | $13K | |
| 90648 | <1% | 654 | $13K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 420 | $11K |
| 90670 | <1% | 475 | $10K | |
| 90677 | <1% | 265 | $7K | |
| 90680 | <1% | 324 | $7K | |
| 87637 | Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV | <1% | 96 | $6K |
| 99173 | <1% | 2,504 | $5K | |
| 90656 | <1% | 207 | $5K | |
| 96160 | <1% | 3,053 | $5K | |
| D1206 | Topical application of fluoride varnish | <1% | 157 | $4K |
| 0072A | <1% | 93 | $4K | |
| 0071A | <1% | 84 | $3K | |
| 90651 | <1% | 169 | $3K | |
| 90480 | <1% | 101 | $3K | |
| 90707 | <1% | 148 | $3K | |
| 90633 | <1% | 124 | $2K | |
| 90716 | <1% | 120 | $2K | |
| 90380 | <1% | 25 | $2K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 300 | $2K |
| 90744 | <1% | 110 | $2K | |
| 91319 | <1% | 37 | $1K | |
| 96161 | <1% | 590 | $1K | |
| 0081A | <1% | 33 | $1K | |
| 90734 | <1% | 46 | $1K | |
| 91320 | <1% | 24 | $998.78 | |
| 90698 | <1% | 42 | $977.76 | |
| 0082A | <1% | 23 | $800.00 | |
| 99406 | <1% | 163 | $717.27 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 539 | $714.00 |
| 0053A | <1% | 17 | $680.00 | |
| 91318 | <1% | 19 | $611.52 | |
| 0073A | <1% | 18 | $560.00 | |
| 90619 | <1% | 39 | $535.44 | |
| 90620 | <1% | 17 | $372.48 | |
| 99408 | <1% | 162 | $343.00 | |
| 91307 | <1% | 119 | $0.09 | |
| 91308 | 0% | 17 | $0.00 | |
| 99072 | 0% | 80 | $0.00 | |
| 99000 | 0% | 117 | $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 officialOMENKA, VERONICA (PHYSICIAN)