Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HIGHLANDS PEDIATRICS

NPI: 1427359090 · ABINGDON, VA 24210 · Pediatrics Physician · NPI assigned 11/12/2010

$4.19M
Total Medicaid Paid
147,687
Total Claims
137,604
Beneficiaries
57
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDUNCAN, SONYA (OFFICE MANAGER)
NPI Enumeration Date11/12/2010

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,000 $287K
2019 28,911 $713K
2020 21,865 $565K
2021 22,775 $663K
2022 25,137 $824K
2023 22,978 $685K
2024 14,021 $455K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,078 23,942 $1.57M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,976 5,777 $449K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,456 4,983 $448K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,409 4,134 $314K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,249 4,132 $314K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,717 1,685 $139K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,799 10,431 $103K
96127 11,870 9,734 $70K
90686 5,508 5,318 $61K
92551 6,334 6,095 $58K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 4,281 3,978 $55K
99188 2,824 2,735 $54K
87428 1,525 1,445 $52K
90670 3,037 2,895 $49K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,946 1,701 $46K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,102 1,043 $41K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,434 1,353 $39K
83655 3,270 3,161 $39K
90648 3,482 3,324 $37K
90723 1,928 1,846 $25K
90834 Psychotherapy, 45 minutes with patient 312 264 $25K
90791 Psychiatric diagnostic evaluation 167 158 $25K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,344 1,304 $22K
85018 8,453 8,137 $19K
96160 11,840 11,440 $19K
80061 Lipid panel 1,457 1,409 $16K
90651 682 666 $15K
90633 956 937 $11K
90677 377 366 $11K
99173 4,595 4,431 $10K
90734 432 423 $7K
90832 Psychotherapy, 30 minutes with patient 103 85 $6K
81003 2,772 2,605 $6K
90681 403 391 $6K
90715 400 395 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 114 100 $5K
96161 2,570 2,429 $4K
90620 136 135 $3K
99381 27 27 $2K
0071A 60 54 $2K
0072A 48 48 $2K
90710 136 134 $2K
87807 140 131 $2K
90696 103 103 $1K
99383 13 13 $1K
90716 39 39 $893.15
90707 39 39 $707.17
36416 1,584 1,485 $679.42
99238 Hospital discharge day management, 30 minutes or less 19 16 $643.08
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $576.70
90685 43 43 $499.39
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 12 $115.14
99177 16 12 $43.14
82962 13 12 $29.98
36415 Collection of venous blood by venipuncture 14 12 $27.90
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 14 12 $13.56
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 14 12 $0.36