Physician
Gold Pediatrics, LLC
Gold Pediatrics, LLC was paid $2.02M by Medicaid between Oct 2021 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.
33Billing provider infoGOLD PEDIATRICS, LLC
ROCKVILLE, MD 20850
ROCKVILLE, MD 20850
33aNPI1316527658assigned 04/12/2021
33bProvider typePediatrics Physician
28Total paid$2.02M
24GClaims35,484
24DCodes billed37
24AFirst – last monthOct 2021 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#62 of 306
Median peer was paid$206K
This provider vs. median9.8×
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 | |
|---|---|---|---|
| 2021 | 805 | $45K | |
| 2022 | 8,686 | $493K | |
| 2023 | 13,639 | $806K | |
| 2024incomplete | 12,354 | $674K |
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 | 49% | 7,679 | 4,976 | $995K |
| 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% | 5,123 | 3,896 | $470K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 4.7% | 2,464 | 2,034 | $94K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 438 | 375 | $81K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.8% | 815 | 640 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 413 | 389 | $44K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.9% | 3,814 | 1,536 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.5% | 2,498 | 2,141 | $31K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.4% | 271 | 251 | $29K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.4% | 226 | 217 | $27K |
| 90677 | 1.2% | 263 | 234 | $24K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 94 | 84 | $14K |
25 more codes
| 94760 | <1% | 5,526 | $13K | |
| 90686 | <1% | 571 | $13K | |
| 90648 | <1% | 508 | $11K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 803 | $9K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 491 | $8K |
| 90723 | <1% | 373 | $7K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 687 | $6K |
| 99383 | <1% | 42 | $5K | |
| 90670 | <1% | 195 | $4K | |
| 90656 | <1% | 125 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 45 | $3K |
| 90633 | <1% | 102 | $2K | |
| 94664 | <1% | 160 | $2K | |
| 96127 | <1% | 395 | $2K | |
| 99173 | <1% | 636 | $2K | |
| 99051 | <1% | 93 | $903.90 | |
| 96161 | <1% | 360 | $845.98 | |
| 90651 | <1% | 28 | $782.97 | |
| 90710 | <1% | 33 | $651.84 | |
| 90681 | <1% | 30 | $628.56 | |
| 99177 | <1% | 109 | $488.88 | |
| 90716 | <1% | 16 | $372.48 | |
| 90707 | <1% | 15 | $349.20 | |
| 90734 | <1% | 14 | $325.92 | |
| 94761 | <1% | 29 | $89.01 |
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 officialDOUGLAS, ERROL (OWNER)