Manchester Pediatric Associates, PC
Manchester Pediatric Associates, PC was paid $1.27M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 23% of everything it billed.
33Billing provider infoMANCHESTER PEDIATRIC ASSOCIATES, PC
RICHMOND, VA 23224
RICHMOND, VA 23224
33aNPI1295758662assigned 07/25/2006
33bProvider typeSpecialist
28Total paid$1.27M
24GClaims44,586
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#20 of 231
Median peer was paid$47K
This provider vs. median27×
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 | 6,976 | $158K | |
| 2019 | 7,836 | $207K | |
| 2020 | 5,017 | $154K | |
| 2021 | 6,484 | $189K | |
| 2022 | 7,620 | $202K | |
| 2023 | 5,993 | $165K | |
| 2024incomplete | 4,660 | $199K |
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 | 23% | 5,566 | 5,153 | $289K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 16% | 2,998 | 2,817 | $203K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 15% | 2,799 | 2,673 | $191K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 13% | 2,904 | 2,462 | $160K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 1,576 | 1,489 | $115K |
| 90651 | 3.9% | 1,406 | 1,326 | $50K | |
| 90670 | 3.3% | 1,929 | 1,747 | $43K | |
| 90710 | 2.5% | 1,293 | 1,207 | $32K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.2% | 890 | 793 | $28K |
| 90698 | 1.8% | 1,554 | 1,416 | $23K | |
| 90734 | 1.6% | 739 | 691 | $21K | |
| 90633 | 1.4% | 1,663 | 1,524 | $18K |
31 more codes
| 90680 | 1.2% | 1,094 | $15K | |
| 90671 | 1.1% | 138 | $15K | |
| 90686 | <1% | 1,081 | $10K | |
| 90723 | <1% | 581 | $7K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 113 | $6K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,774 | $6K |
| 90697 | <1% | 165 | $6K | |
| 90647 | <1% | 639 | $5K | |
| 90461 | <1% | 3,848 | $5K | |
| 90715 | <1% | 357 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,278 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,121 | $3K |
| 90656 | <1% | 148 | $2K | |
| 90744 | <1% | 233 | $2K | |
| 90700 | <1% | 201 | $2K | |
| 99381 | <1% | 36 | $2K | |
| 90696 | <1% | 124 | $1K | |
| 90621 | <1% | 56 | $1K | |
| 90716 | <1% | 97 | $1K | |
| 90620 | <1% | 31 | $1K | |
| 90707 | <1% | 84 | $837.70 | |
| 86580 | <1% | 116 | $683.69 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 74 | $597.89 |
| 90713 | <1% | 43 | $449.03 | |
| 85018 | <1% | 232 | $438.51 | |
| 99000 | <1% | 249 | $415.84 | |
| 90648 | <1% | 37 | $328.18 | |
| 90672 | <1% | 29 | $302.78 | |
| 90660 | <1% | 27 | $234.92 | |
| 90474 | <1% | 251 | $205.96 | |
| 90473 | 0% | 12 | $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 officialBELL, SANDRA (MEDICAL DOCTOR)