Clinic
Hispanic American Pediatric Associates
Hispanic American Pediatric Associates was paid $10.54M by Medicaid between Jan 2018 and Dec 2024, across 66 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoHISPANIC AMERICAN PEDIATRIC ASSOCIATES
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
33aNPI1386719524assigned 11/22/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$10.54M
24GClaims368,321
24DCodes billed66
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#1 of 80
Median peer was paid$108K
This provider vs. median97×
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 | 51,125 | $1.41M | |
| 2019 | 56,013 | $1.47M | |
| 2020 | 41,290 | $1.21M | |
| 2021 | 52,447 | $1.46M | |
| 2022 | 67,008 | $1.90M | |
| 2023 | 51,903 | $1.60M | |
| 2024incomplete | 48,535 | $1.48M |
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 | 45% | 83,628 | 71,468 | $4.78M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 11,239 | 10,599 | $808K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 9,421 | 8,905 | $685K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 5.2% | 7,127 | 6,642 | $552K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 6,688 | 5,810 | $438K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 3.4% | 25,427 | 12,201 | $356K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.3% | 11,719 | 10,900 | $352K |
| 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 | 2.6% | 3,463 | 3,294 | $279K |
| 92551 | 2.1% | 24,634 | 23,009 | $218K | |
| 90651 | 1.7% | 4,442 | 4,122 | $181K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.4% | 11,798 | 11,309 | $151K |
| 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 | 1.3% | 1,286 | 1,194 | $138K |
54 more codes
| 90670 | 1.2% | 5,327 | $128K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.1% | 15,799 | $116K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 3,712 | $113K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.0% | 11,860 | $110K |
| 90686 | <1% | 9,025 | $95K | |
| 90716 | <1% | 4,074 | $93K | |
| 90734 | <1% | 2,589 | $68K | |
| 90707 | <1% | 3,827 | $65K | |
| 90680 | <1% | 3,417 | $56K | |
| 99381 | <1% | 850 | $54K | |
| 90633 | <1% | 4,402 | $54K | |
| 90715 | <1% | 3,219 | $46K | |
| 90723 | <1% | 2,975 | $45K | |
| 90688 | <1% | 3,937 | $45K | |
| 90700 | <1% | 3,637 | $43K | |
| 90648 | <1% | 4,060 | $42K | |
| 90621 | <1% | 921 | $33K | |
| 99173 | <1% | 24,686 | $30K | |
| 90713 | <1% | 2,264 | $28K | |
| 90733 | <1% | 731 | $26K | |
| 90677 | <1% | 477 | $26K | |
| 0071A | <1% | 615 | $24K | |
| 0072A | <1% | 552 | $22K | |
| 87807 | <1% | 1,622 | $21K | |
| 0001A | <1% | 464 | $18K | |
| 0002A | <1% | 456 | $18K | |
| 99383 | <1% | 211 | $17K | |
| 99401 | <1% | 1,075 | $16K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19,652 | $15K |
| 86580 | <1% | 2,122 | $15K | |
| 87430 | <1% | 1,734 | $14K | |
| 99188 | <1% | 700 | $14K | |
| 90656 | <1% | 1,051 | $13K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 150 | $13K |
| 90685 | <1% | 1,079 | $11K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,275 | $8K |
| 97802 | <1% | 4,985 | $7K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 10,486 | $7K |
| 90620 | <1% | 330 | $7K | |
| 81002 | <1% | 2,737 | $6K | |
| 0003A | <1% | 146 | $6K | |
| 90744 | <1% | 501 | $4K | |
| 99382 | <1% | 48 | $4K | |
| 90687 | <1% | 240 | $3K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $2K |
| 86328 | <1% | 38 | $2K | |
| 90698 | <1% | 136 | $2K | |
| 90658 | <1% | 70 | $1K | |
| 90461 | <1% | 86 | $1K | |
| 90710 | <1% | 21 | $917.89 | |
| 81003 | <1% | 604 | $809.10 | |
| 90681 | <1% | 20 | $325.03 | |
| 91300 | 0% | 1,249 | $0.00 | |
| 91307 | 0% | 1,179 | $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 officialOMIDVAR, JEMAL (PRESIDENT)