Johnson, William

Johnson, William was paid $234K by Medicaid between Jan 2018 and Sep 2019, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoJOHNSON, WILLIAM
FREDERICKSBURG, VA 22407

33aNPI1295715969assigned 01/19/2006

33bProvider typePediatrics Physician

28Total paid$234K

24GClaims8,206

24DCodes billed29

24AFirst – last monthJan 2018 – Sep 2019

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#175 of 817

Median peer was paid$29K

This provider vs. median8.0×

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	5,814	$164K
2019	2,392	$70K

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	39%	1,932	1,494	$91K
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	27%	865	744	$63K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.6%	274	243	$18K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	5.9%	250	204	$14K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.8%	100	84	$7K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.5%	227	166	$6K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.4%	79	79	$6K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	2.4%	566	492	$6K
95004	Percutaneous tests with allergenic extracts, immediate type reaction	2.0%	19	16	$5K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.3%	344	184	$3K
90670		1.2%	180	153	$3K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.2%	34	34	$3K

17 more codes

99383		1.0%	30	$2K
85025	Blood count; complete (CBC), automated, and automated differential WBC count	1.0%	351	$2K
90648		<1%	174	$2K
71046	Radiologic examination, chest; 2 views	<1%	64	$1K
90723		<1%	106	$1K
90710		<1%	20	$626.91
90461		<1%	477	$449.51
90715		<1%	36	$368.85
90681		<1%	28	$340.32
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	667	$335.32
99000		<1%	95	$250.42
36415	Collection of venous blood by venipuncture	<1%	406	$202.05
90633		<1%	14	$157.30
99050		<1%	25	$122.30
90651		<1%	13	$111.10
99051		<1%	801	$103.30
99173		<1%	29	$29.64

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.