Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PORTSMOUTH PEDIATRICS, PC

NPI: 1295044774 · PORTSMOUTH, VA 23704 · Pediatrics Physician · NPI assigned 09/30/2010

$120K
Total Medicaid Paid
6,791
Total Claims
6,530
Beneficiaries
16
Codes Billed
2018-01
First Month
2022-12
Last Month

Provider Details

Authorized OfficialDELACRUZ, MARIA (OFFICE MANAGER)
NPI Enumeration Date09/30/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,857 $27K
2019 1,877 $34K
2020 648 $13K
2021 1,307 $20K
2022 1,102 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,017 968 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,160 1,097 $34K
92552 846 818 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 144 137 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53 50 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 462 446 $2K
85018 1,321 1,286 $2K
99173 967 936 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 25 24 $1K
90658 91 89 $875.93
99383 16 15 $829.51
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 12 $579.60
36416 555 539 $386.48
81002 95 88 $190.08
90648 12 12 $88.55
91307 14 13 $0.04