Rica Pediatrics LLC

Rica Pediatrics LLC was paid $100K by Medicaid between Mar 2024 and Nov 2024, across 32 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 41% of everything it billed.

33Billing provider infoRICA PEDIATRICS LLC
STAFFORD, VA 22556

33aNPI1356103766assigned 01/30/2024

33bProvider typePediatrics Physician

28Total paid$100K

24GClaims3,393

24DCodes billed32

24AFirst – last monthMar 2024 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#239 of 817

Median peer was paid$29K

This provider vs. median3.4×

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
2024incomplete	3,393	$100K

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	41%	553	417	$41K
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	9.4%	204	149	$9K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	8.9%	157	152	$9K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.6%	120	105	$8K
99382		5.3%	89	83	$5K
99383		3.9%	73	63	$4K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	3.4%	132	112	$3K
92551		2.1%	306	269	$2K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.0%	30	29	$2K
90677		1.8%	71	69	$2K
99381		1.6%	37	29	$2K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	167	159	$2K

20 more codes

99384		1.4%	14	$1K
90698		1.3%	64	$1K
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)	1.3%	313	$1K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	99	$1K
97802		<1%	149	$867.78
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	148	$648.51
99173		<1%	301	$543.40
90656		<1%	36	$532.55
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	12	$496.68
90681		<1%	19	$414.03
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	29	$388.08
90660		<1%	31	$385.74
96127		<1%	101	$371.53
90700		<1%	28	$339.30
90744		<1%	25	$332.40
90619		<1%	15	$260.43
90680		<1%	12	$208.88
90633		<1%	15	$190.18
94664		<1%	21	$131.13
97803		<1%	22	$54.30

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 officialLALOTA, CARLA (NURSE PRACTITIONER)