Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician NPI deactivated

Children's Pediatricians & Associates, LLC

Children's Pediatricians & Associates, LLC was paid $17.46M by Medicaid between Jan 2018 and Dec 2024, across 91 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.

33Billing provider infoCHILDREN'S PEDIATRICIANS & ASSOCIATES, LLC
SILVER SPRING, MD 20904
33aNPI1396932687assigned 10/01/2007
33bProvider typePediatrics Physician
28Total paid$17.46M
24GClaims630,974
24DCodes billed91
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Maryland

Rank by total paid#3 of 306
Median peer was paid$206K
This provider vs. median85×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
201813,334$514K
201914,016$474K
2020107,295$3.33M
2021181,392$3.11M
2022142,467$4.48M
2023101,975$3.08M
2024incomplete70,495$2.46M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 25% 48,775 38,927 $4.43M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 66,248 53,372 $4.25M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12% 25,492 21,296 $2.08M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 9.2% 19,118 16,228 $1.60M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 8.5% 20,014 16,168 $1.48M
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.6% 8,834 7,547 $804K
99070 2.5% 105,018 85,173 $429K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1.9% 3,016 2,579 $333K
92551 1.9% 37,520 31,694 $329K
90686 1.6% 21,723 16,787 $280K
90460 Immunization administration through 18 years of age via any route, first or only component 1.3% 14,649 13,838 $225K
96160 <1% 67,132 53,672 $129K
79 more codes
90670 <1% 8,930 $126K
90698 <1% 8,899 $116K
90461 <1% 5,433 $110K
99173 <1% 35,598 $86K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 7,050 $67K
96127 <1% 17,831 $64K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 2,027 $36K
90680 <1% 2,153 $30K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 676 $25K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,089 $24K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,557 $23K
99174 <1% 4,202 $23K
90633 <1% 1,810 $21K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 423 $19K
90656 <1% 897 $18K
90677 <1% 707 $17K
99215 Doctor's office visit, returning patient (complex) <1% 163 $17K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 1,707 $16K
90688 <1% 1,056 $15K
0072A <1% 489 $14K
0071A <1% 581 $14K
99381 <1% 244 $14K
83655 <1% 1,563 $14K
99383 <1% 128 $14K
99384 <1% 112 $14K
90744 <1% 1,018 $14K
90651 <1% 1,307 $13K
90472 Immunization administration, each additional vaccine (list separately) <1% 590 $11K
99051 <1% 2,876 $10K
99203 Doctor's office visit, new patient (routine) <1% 100 $10K
85018 <1% 6,085 $9K
92552 <1% 358 $9K
96161 <1% 3,852 $8K
99204 Doctor's office visit, new patient (more involved) <1% 53 $8K
90620 <1% 183 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 572 $6K
90619 <1% 297 $5K
80061 Lipid panel <1% 687 $5K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 57 $4K
90734 <1% 540 $4K
0002A <1% 75 $2K
91320 <1% 45 $2K
90480 <1% 168 $2K
99382 <1% 16 $2K
90710 <1% 126 $2K
D0191 <1% 58 $2K
94760 <1% 1,855 $1K
0051A <1% 24 $1K
99072 <1% 18,337 $888.28
99188 <1% 106 $869.70
36416 <1% 11,401 $793.93
G8510 Screening for depression is documented as negative, a follow-up plan is not required <1% 6,947 $676.69
99000 <1% 7,887 $657.96
0001A <1% 30 $642.60
90715 <1% 109 $633.31
0081A <1% 13 $607.23
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 15 $497.53
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% 35 $437.35
85014 <1% 181 $424.20
90696 <1% 38 $349.41
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 17 $239.85
90474 <1% 12 $141.84
90685 <1% 12 $116.44
99401 <1% 28 $84.82
A7016 Dome and mouthpiece, used with small volume ultrasonic nebulizer <1% 18 $53.25
99058 <1% 19 $40.00
90723 <1% 17 $25.16
A7015 Aerosol mask, used with dme nebulizer <1% 17 $12.43
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 17 $3.94
91307 <1% 1,277 $0.76
90716 <1% 25 $0.25
90707 <1% 12 $0.12
90648 <1% 12 $0.11
91300 <1% 263 $0.01
G8431 Screening for depression is documented as being positive and a follow-up plan is documented <1% 15 $0.01
91305 0% 106 $0.00
G9920 Screening performed and negative 0% 19,020 $0.00
G9919 Screening performed and positive and provision of recommendations 0% 147 $0.00
91308 0% 35 $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 officialJANOWIAK, MARK (DIRECTOR OF BUSINESS OPERATIONS)
Parent organizationCHILDREN'S NATIONAL MEDICAL CENTER