Physician
Portsmouth Pediatrics, PC
Portsmouth Pediatrics, PC was paid $120K by Medicaid between Jan 2018 and Dec 2022, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 38% of everything it billed.
33Billing provider infoPORTSMOUTH PEDIATRICS, PC
PORTSMOUTH, VA 23704
PORTSMOUTH, VA 23704
33aNPI1295044774assigned 09/30/2010
33bProvider typePediatrics Physician
28Total paid$120K
24GClaims6,791
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#216 of 817
Median peer was paid$29K
This provider vs. median4.1×
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 | |
|---|---|---|---|
| 2018 | 1,857 | $27K | |
| 2019 | 1,877 | $34K | |
| 2020 | 648 | $13K | |
| 2021 | 1,307 | $20K | |
| 2022 | 1,102 | $26K |
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 | 38% | 1,017 | 968 | $46K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 28% | 1,160 | 1,097 | $34K |
| 92552 | 16% | 846 | 818 | $19K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.3% | 144 | 137 | $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 | 2.3% | 53 | 50 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 462 | 446 | $2K |
| 85018 | 1.8% | 1,321 | 1,286 | $2K | |
| 99173 | 1.5% | 967 | 936 | $2K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25 | 24 | $1K |
| 90658 | <1% | 91 | 89 | $875.93 | |
| 99383 | <1% | 16 | 15 | $829.51 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 13 | 12 | $579.60 |
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 officialDELACRUZ, MARIA (OFFICE MANAGER)