Physician
Health Care for Children,llc
Health Care for Children,llc was paid $6.33M by Medicaid between Jan 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoHEALTH CARE FOR CHILDREN,LLC
ELKTON, MD 21921
ELKTON, MD 21921
33aNPI1376599308assigned 05/25/2006
33bProvider typePediatrics Physician
28Total paid$6.33M
24GClaims205,545
24DCodes billed61
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#16 of 306
Median peer was paid$206K
This provider vs. median31×
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 | 2,134 | $9K | |
| 2019 | 1,035 | $9K | |
| 2020 | 35,940 | $1.03M | |
| 2021 | 37,410 | $1.07M | |
| 2022 | 51,265 | $1.31M | |
| 2023 | 52,519 | $1.61M | |
| 2024incomplete | 25,242 | $1.30M |
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 | 35% | 20,805 | 16,909 | $2.23M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 16% | 13,235 | 11,158 | $1.00M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.4% | 4,679 | 3,795 | $402K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 6.1% | 13,538 | 11,414 | $385K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.0% | 4,000 | 3,544 | $381K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.8% | 2,332 | 1,954 | $366K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 4.8% | 6,533 | 5,572 | $305K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.3% | 2,932 | 2,630 | $274K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.7% | 1,821 | 1,630 | $169K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 9,964 | 8,363 | $77K |
| 92551 | 1.1% | 7,760 | 6,964 | $67K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 1,729 | 1,502 | $59K |
49 more codes
| 90648 | <1% | 2,882 | $58K | |
| 90677 | <1% | 686 | $58K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,730 | $55K |
| 94760 | <1% | 33,310 | $54K | |
| 90670 | <1% | 2,327 | $46K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,156 | $41K |
| 99381 | <1% | 506 | $40K | |
| 90723 | <1% | 2,011 | $40K | |
| 90633 | <1% | 1,363 | $28K | |
| 90681 | <1% | 1,098 | $22K | |
| 99050 | <1% | 1,747 | $20K | |
| 99173 | <1% | 8,204 | $19K | |
| 90686 | <1% | 971 | $18K | |
| 90734 | <1% | 722 | $15K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 603 | $14K |
| 90685 | <1% | 719 | $11K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 446 | $7K |
| 90716 | <1% | 304 | $7K | |
| 90710 | <1% | 294 | $6K | |
| 90649 | <1% | 360 | $5K | |
| 90707 | <1% | 246 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,905 | $5K |
| 90620 | <1% | 252 | $5K | |
| 90715 | <1% | 233 | $5K | |
| 2015F | <1% | 886 | $4K | |
| 90696 | <1% | 182 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 40 | $3K |
| 99072 | <1% | 19,825 | $3K | |
| 99051 | <1% | 318 | $2K | |
| 90700 | <1% | 101 | $2K | |
| 99383 | <1% | 16 | $2K | |
| 99382 | <1% | 14 | $2K | |
| 90651 | <1% | 79 | $2K | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 2,350 | $1K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 102 | $1K |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 6,221 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 114 | $733.21 |
| 99000 | <1% | 6,250 | $665.85 | |
| H0049 | Alcohol and/or drug screening | <1% | 128 | $496.50 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | <1% | 1,436 | $432.47 |
| A7016 | Dome and mouthpiece, used with small volume ultrasonic nebulizer | <1% | 112 | $414.34 |
| 94761 | <1% | 95 | $266.42 | |
| 81002 | <1% | 77 | $171.38 | |
| 36416 | <1% | 2,447 | $148.00 | |
| 99080 | <1% | 47 | $100.00 | |
| 99071 | <1% | 7,209 | $36.28 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 24 | $36.00 |
| INVCD | 0% | 20 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 49 | $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 officialDALIVA, AGNES (PHYSICIAN)