Physician
Pediatric Health Partners
Pediatric Health Partners was paid $978K by Medicaid between Jan 2020 and Dec 2024, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoPEDIATRIC HEALTH PARTNERS
GERMANTOWN, MD 20874
GERMANTOWN, MD 20874
33aNPI1346418357assigned 02/12/2008
33bProvider typePediatrics Physician
28Total paid$978K
24GClaims16,122
24DCodes billed19
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#87 of 306
Median peer was paid$206K
This provider vs. median4.8×
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 | |
|---|---|---|---|
| 2020 | 2,376 | $132K | |
| 2021 | 3,370 | $193K | |
| 2022 | 3,766 | $238K | |
| 2023 | 3,530 | $221K | |
| 2024incomplete | 3,080 | $193K |
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% | 4,700 | 4,240 | $379K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 18% | 3,266 | 2,898 | $178K |
| 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 | 11% | 923 | 863 | $105K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 9.0% | 746 | 734 | $88K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.9% | 810 | 799 | $87K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 484 | 483 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 378 | 349 | $39K |
| 90686 | 3.0% | 1,281 | 1,275 | $29K | |
| 99173 | <1% | 3,005 | 2,957 | $7K | |
| 90656 | <1% | 196 | 196 | $5K | |
| 90670 | <1% | 107 | 107 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $1K |
7 more codes
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 officialGANCAYCO, ROBERT (PHYSICIAN/PRESIDENT)