Medicaid Provider Spending

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

PRINCE EDWARD PEDIATRICS

NPI: 1447668199 · FARMVILLE, VA 23901 · Pediatrics Physician · NPI assigned 07/25/2014

$7.39M
Total Medicaid Paid
234,615
Total Claims
204,753
Beneficiaries
71
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialAL-ANI, IBTEHAL (PHYICIAN)
NPI Enumeration Date07/25/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12,529 $275K
2019 30,971 $848K
2020 30,141 $906K
2021 36,575 $1.10M
2022 42,075 $1.36M
2023 47,471 $1.57M
2024 34,853 $1.34M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,866 47,171 $3.54M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,494 6,292 $490K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 14,324 12,173 $469K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 19,792 14,965 $445K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,268 5,126 $397K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6,468 5,040 $396K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,631 2,550 $213K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15,347 13,487 $198K
92551 10,937 10,608 $103K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,098 2,531 $92K
90677 681 650 $79K
99188 3,470 3,371 $69K
90670 3,536 3,324 $69K
90460 Immunization administration through 18 years of age via any route, first or only component 16,497 15,535 $65K
90651 1,417 1,384 $65K
90686 5,406 5,269 $63K
90680 2,784 2,586 $56K
90723 3,128 2,921 $54K
90716 2,287 2,215 $54K
99443 967 932 $47K
90648 4,233 3,986 $43K
90707 2,288 2,215 $40K
90734 1,200 1,178 $39K
90633 2,493 2,412 $33K
99173 11,040 10,703 $26K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 385 362 $25K
83655 1,960 1,891 $22K
90649 348 321 $17K
90621 367 359 $16K
90696 893 869 $15K
90700 1,035 1,011 $13K
90461 7,402 7,030 $12K
0071A 293 291 $11K
99238 Hospital discharge day management, 30 minutes or less 248 189 $10K
0001A 268 257 $10K
90715 593 582 $10K
0002A 241 215 $8K
0072A 212 208 $8K
90380 38 32 $7K
90688 741 629 $7K
99460 152 109 $7K
81002 1,927 1,755 $5K
85018 2,170 2,096 $5K
90685 515 458 $4K
90672 324 313 $4K
99381 64 50 $4K
90381 38 38 $4K
0004A 100 100 $3K
90656 216 215 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 223 171 $3K
81025 450 433 $3K
36415 Collection of venous blood by venipuncture 962 922 $3K
88720 788 479 $2K
0074A 40 39 $2K
96380 115 106 $1K
99000 961 921 $1K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 13 13 $1K
99447 58 54 $1K
36416 2,171 2,099 $733.11
0154A 14 14 $532.00
99401 90 81 $517.19
0124A 13 13 $504.00
90480 13 13 $356.15
0081A 13 13 $280.00
90660 21 21 $237.87
90710 12 12 $132.00
91315 14 14 $0.03
91307 643 606 $0.01
91300 739 647 $0.00
91308 67 65 $0.00
91312 13 13 $0.00