Nimali Fernando MD PLC

Nimali Fernando MD PLC was paid $3K by Medicaid between Nov 2018 and Oct 2023, across 5 billing codes. Its largest line is 90686, — 41% of everything it billed.

33Billing provider infoNIMALI FERNANDO MD PLC
SPOTSYLVANIA, VA 22553

33aNPI1295165298assigned 11/13/2013

33bProvider typePediatrics Physician

28Total paid$3K

24GClaims290

24DCodes billed5

24AFirst – last monthNov 2018 – Oct 2023

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#723 of 817

Median peer was paid$29K

This provider vs. median0.1×

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	23	$713.23
2019	27	$873.44
2020	39	$273.31
2021	173	$498.93
2023	28	$358.71

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90686		41%	92	90	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	27%	15	13	$742.90
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	26%	23	13	$713.23
90688		4.9%	12	12	$133.65
99072		<1%	148	115	$7.50

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 officialFERNANDO, NIMALI (OWNER/PHYSICIAN)