Physician
Stone Spring Pediatrics, LLC
Stone Spring Pediatrics, LLC was paid $599K by Medicaid between Mar 2019 and Sep 2020, across 28 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoSTONE SPRING PEDIATRICS, LLC
ROCKINGHAM, VA 22801
ROCKINGHAM, VA 22801
33aNPI1407320336assigned 01/14/2019
33bProvider typePediatrics Physician
28Total paid$599K
24GClaims13,009
24DCodes billed28
24AFirst – last monthMar 2019 – Sep 2020
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#139 of 817
Median peer was paid$29K
This provider vs. median20×
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 | |
|---|---|---|---|
| 2019 | 8,353 | $372K | |
| 2020 | 4,656 | $228K |
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 | 39% | 3,964 | 3,629 | $235K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 13% | 958 | 958 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 885 | 871 | $68K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 11% | 847 | 841 | $68K |
| 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 | 8.4% | 593 | 582 | $50K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.4% | 304 | 302 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 553 | 519 | $19K |
| 90670 | 2.2% | 586 | 582 | $13K | |
| 90698 | 1.6% | 585 | 582 | $10K | |
| 90686 | 1.0% | 548 | 519 | $6K | |
| 90680 | <1% | 270 | 267 | $5K | |
| 90744 | <1% | 183 | 180 | $3K |
16 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 171 | $2K |
| 96127 | <1% | 446 | $2K | |
| 99173 | <1% | 823 | $2K | |
| 87430 | <1% | 115 | $2K | |
| 90633 | <1% | 110 | $1K | |
| 83655 | <1% | 82 | $1K | |
| 99188 | <1% | 37 | $805.63 | |
| 85018 | <1% | 296 | $744.70 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 78 | $666.82 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 67 | $591.12 |
| 90710 | <1% | 12 | $562.17 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 28 | $390.84 |
| 36416 | <1% | 431 | $338.74 | |
| 90716 | <1% | 12 | $252.42 | |
| 90696 | <1% | 12 | $218.47 | |
| 81002 | <1% | 13 | $33.61 |
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 officialLAMBERT, LYNN (MD)
| Provider | Location | Paid |
|---|---|---|
| Valley Children's Clinic | Harrisonburg, VA | $136K |
| Complete Rehabilitation Services, INC. | Fort Walton Beach, FL | $110K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.