Clinic
Pediatric Associates
Pediatric Associates was paid $6.80M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES
WHEATON, MD 20902
WHEATON, MD 20902
33aNPI1295921534assigned 09/20/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$6.80M
24GClaims129,446
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#2 of 112
Median peer was paid$200K
This provider vs. median34×
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 | 2,476 | $62K | |
| 2019 | 1,468 | $35K | |
| 2020 | 22,432 | $875K | |
| 2021 | 25,789 | $1.20M | |
| 2022 | 26,452 | $1.51M | |
| 2023 | 26,478 | $1.67M | |
| 2024incomplete | 24,351 | $1.45M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 16,120 | 14,472 | $1.88M |
| 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% | 18,996 | 17,228 | $1.56M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.6% | 6,705 | 6,133 | $656K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.6% | 4,846 | 4,601 | $514K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.9% | 4,479 | 4,212 | $470K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 4.6% | 2,482 | 2,270 | $316K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.7% | 2,239 | 2,098 | $255K |
| 90686 | 3.2% | 9,823 | 9,075 | $216K | |
| D1206 | Topical application of fluoride varnish | 2.4% | 6,616 | 4,567 | $164K |
| 92552 | 2.1% | 5,935 | 5,650 | $145K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.3% | 1,977 | 1,937 | $87K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 5,014 | 4,407 | $58K |
48 more codes
| 99460 | <1% | 661 | $55K | |
| 90698 | <1% | 1,979 | $44K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,952 | $33K |
| 96127 | <1% | 6,737 | $30K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 435 | $29K |
| 90670 | <1% | 1,177 | $26K | |
| 87428 | <1% | 670 | $25K | |
| W7010 | <1% | 1,535 | $24K | |
| 0071A | <1% | 436 | $17K | |
| 0072A | <1% | 417 | $16K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 351 | $15K |
| 90671 | <1% | 637 | $15K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,609 | $13K |
| 90680 | <1% | 561 | $13K | |
| 90656 | <1% | 536 | $12K | |
| 99177 | <1% | 2,421 | $11K | |
| 90661 | <1% | 420 | $9K | |
| 0001A | <1% | 210 | $8K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 748 | $8K |
| 97802 | <1% | 102 | $7K | |
| 0002A | <1% | 167 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 268 | $6K |
| 97803 | <1% | 247 | $6K | |
| 99173 | <1% | 2,170 | $5K | |
| 96160 | <1% | 1,900 | $5K | |
| 96161 | <1% | 1,874 | $5K | |
| 90480 | <1% | 142 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 102 | $5K |
| 90716 | <1% | 203 | $5K | |
| 90744 | <1% | 140 | $3K | |
| 87081 | <1% | 839 | $3K | |
| 90651 | <1% | 113 | $3K | |
| 90633 | <1% | 120 | $3K | |
| 99051 | <1% | 313 | $2K | |
| 83655 | <1% | 177 | $2K | |
| 90707 | <1% | 75 | $2K | |
| 0074A | <1% | 28 | $1K | |
| 36416 | <1% | 4,279 | $793.00 | |
| 90621 | <1% | 25 | $743.66 | |
| 90734 | <1% | 27 | $628.56 | |
| 99050 | <1% | 54 | $412.52 | |
| 90715 | <1% | 12 | $279.36 | |
| 83718 | <1% | 32 | $214.35 | |
| 82465 | <1% | 32 | $113.71 | |
| 82948 | <1% | 13 | $52.23 | |
| 99072 | <1% | 637 | $37.50 | |
| 99000 | <1% | 555 | $2.67 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 3,076 | $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 officialVON CONRAD, YORCK (PRESIDENT)