South Boston Pediatrics, PC

South Boston Pediatrics, PC was paid $4.73M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoSOUTH BOSTON PEDIATRICS, PC
SOUTH BOSTON, VA 24592

33aNPI1356690366assigned 09/05/2012

33bProvider typePediatrics Physician

28Total paid$4.73M

24GClaims146,923

24DCodes billed78

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#33 of 817

Median peer was paid$29K

This provider vs. median162×

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	10,245	$302K
2019	25,541	$775K
2020	20,775	$610K
2021	25,379	$770K
2022	22,502	$739K
2023	21,582	$763K
2024incomplete	20,899	$770K

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	29%	23,671	20,601	$1.37M
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	22%	12,388	11,136	$1.05M
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	7.2%	4,429	4,287	$340K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	6.8%	4,168	3,988	$320K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	5.3%	3,014	2,900	$250K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	4.8%	3,376	3,055	$229K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.9%	6,871	6,305	$90K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	1.6%	2,590	2,404	$77K
96110	Developmental screening, with scoring and documentation, per standardized instrument	1.5%	8,611	8,220	$71K
99188		1.3%	3,192	3,041	$62K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.3%	1,909	1,674	$62K
90651		1.3%	1,475	1,426	$60K

66 more codes

90686		1.3%	5,115	$60K
90670		1.1%	2,223	$51K
90671		<1%	407	$46K
96127		<1%	7,441	$40K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	13,442	$40K
90680		<1%	1,769	$36K
90677		<1%	284	$36K
90698		<1%	1,788	$33K
90716		<1%	1,048	$29K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,427	$29K
90633		<1%	1,752	$23K
90734		<1%	1,051	$23K
90707		<1%	1,066	$22K
92552		<1%	777	$21K
90619		<1%	369	$20K
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%	2,015	$19K
99381		<1%	279	$17K
99395	Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years	<1%	196	$16K
99215	Doctor's office visit, returning patient (complex)	<1%	128	$16K
90461		<1%	5,694	$15K
0001A		<1%	390	$15K
0002A		<1%	348	$14K
0071A		<1%	296	$12K
0072A		<1%	244	$10K
90744		<1%	840	$10K
90620		<1%	295	$9K
90700		<1%	687	$8K
0003A		<1%	176	$7K
90715		<1%	496	$7K
99000		<1%	5,326	$6K
99173		<1%	2,191	$5K
90672		<1%	368	$5K
90480		<1%	197	$5K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	341	$5K
90648		<1%	441	$5K
99072		<1%	1,566	$4K
85018		<1%	1,750	$4K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	447	$4K
81002		<1%	1,256	$4K
90696		<1%	224	$3K
91320		<1%	64	$3K
91319		<1%	52	$2K
0124A		<1%	53	$2K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	133	$2K
36410		<1%	153	$2K
87807		<1%	126	$2K
90713		<1%	86	$1K
90710		<1%	53	$765.60
0073A		<1%	19	$742.00
96161		<1%	436	$731.38
90472	Immunization administration, each additional vaccine (list separately)	<1%	93	$717.60
36416		<1%	1,374	$692.89
90723		<1%	31	$689.80
96380		<1%	40	$561.33
90647		<1%	48	$508.65
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	<1%	210	$483.00
90473		<1%	235	$472.38
0154A		<1%	13	$463.00
90685		<1%	15	$165.00
90381		<1%	15	$77.07
91300		<1%	1,026	$9.10
91307		<1%	625	$5.49
J7620	Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	<1%	90	$4.10
91312		<1%	53	$0.29
91315		<1%	13	$0.09
99051		0%	23	$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 officialEBALO, NONNA (PRESIDENT)