Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Glen Allen › NPI 1417388588
Physician

Pediatric Partners of Virginia, LLC

Pediatric Partners of Virginia, LLC was paid $142K by Medicaid between Jul 2021 and Dec 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.

33Billing provider infoPEDIATRIC PARTNERS OF VIRGINIA, LLC
GLEN ALLEN, VA 23059
33aNPI1417388588assigned 11/27/2013
33bProvider typePediatrics Physician
28Total paid$142K
24GClaims3,246
24DCodes billed15
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#203 of 817
Median peer was paid$29K
This provider vs. median4.9×

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$5.0K$10K2018201920202021202220232024
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
2021134$10K
2022558$37K
2023814$42K
2024incomplete1,740$54K
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 50% 844 782 $72K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 37% 891 813 $53K
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) 3.1% 601 537 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.7% 54 54 $4K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.5% 54 49 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.2% 133 66 $2K
90686 <1% 92 87 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 12 $856.59
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 25 25 $733.13
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 56 51 $605.36
3008F <1% 411 395 $555.28
90700 <1% 29 27 $310.40
3 more codes
90656 <1% 18 $237.00
85018 <1% 13 $24.06
36416 0% 13 $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 officialSEMEJA, SAMANTHA (CORPORATE MANAGER)
Same official

Other billing entities under SEMEJA, SAMANTHA

Full network →
ProviderLocationPaid
Pediatric Partners of VirginiaPowhatan, VA$22K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.