Physician
Prince Edward Pediatrics
Prince Edward Pediatrics was paid $7.39M by Medicaid between Jan 2018 and Oct 2024, across 71 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoPRINCE EDWARD PEDIATRICS
FARMVILLE, VA 23901
FARMVILLE, VA 23901
33aNPI1447668199assigned 07/25/2014
33bProvider typePediatrics Physician
28Total paid$7.39M
24GClaims234,615
24DCodes billed71
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#15 of 817
Median peer was paid$29K
This provider vs. median253×
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 | |
|---|---|---|---|
| 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 | |
| 2024incomplete | 34,853 | $1.34M |
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 | 48% | 60,866 | 47,171 | $3.54M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 6,494 | 6,292 | $490K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.3% | 14,324 | 12,173 | $469K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.0% | 19,792 | 14,965 | $445K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 5,268 | 5,126 | $397K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 6,468 | 5,040 | $396K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 2,631 | 2,550 | $213K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.7% | 15,347 | 13,487 | $198K |
| 92551 | 1.4% | 10,937 | 10,608 | $103K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.2% | 3,098 | 2,531 | $92K |
| 90677 | 1.1% | 681 | 650 | $79K | |
| 99188 | <1% | 3,470 | 3,371 | $69K |
59 more codes
| 90670 | <1% | 3,536 | $69K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 16,497 | $65K |
| 90651 | <1% | 1,417 | $65K | |
| 90686 | <1% | 5,406 | $63K | |
| 90680 | <1% | 2,784 | $56K | |
| 90723 | <1% | 3,128 | $54K | |
| 90716 | <1% | 2,287 | $54K | |
| 99443 | <1% | 967 | $47K | |
| 90648 | <1% | 4,233 | $43K | |
| 90707 | <1% | 2,288 | $40K | |
| 90734 | <1% | 1,200 | $39K | |
| 90633 | <1% | 2,493 | $33K | |
| 99173 | <1% | 11,040 | $26K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 385 | $25K |
| 83655 | <1% | 1,960 | $22K | |
| 90649 | <1% | 348 | $17K | |
| 90621 | <1% | 367 | $16K | |
| 90696 | <1% | 893 | $15K | |
| 90700 | <1% | 1,035 | $13K | |
| 90461 | <1% | 7,402 | $12K | |
| 0071A | <1% | 293 | $11K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 248 | $10K |
| 0001A | <1% | 268 | $10K | |
| 90715 | <1% | 593 | $10K | |
| 0002A | <1% | 241 | $8K | |
| 0072A | <1% | 212 | $8K | |
| 90380 | <1% | 38 | $7K | |
| 90688 | <1% | 741 | $7K | |
| 99460 | <1% | 152 | $7K | |
| 81002 | <1% | 1,927 | $5K | |
| 85018 | <1% | 2,170 | $5K | |
| 90685 | <1% | 515 | $4K | |
| 90672 | <1% | 324 | $4K | |
| 99381 | <1% | 64 | $4K | |
| 90381 | <1% | 38 | $4K | |
| 0004A | <1% | 100 | $3K | |
| 90656 | <1% | 216 | $3K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 223 | $3K |
| 81025 | <1% | 450 | $3K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 962 | $3K |
| 88720 | <1% | 788 | $2K | |
| 0074A | <1% | 40 | $2K | |
| 96380 | <1% | 115 | $1K | |
| 99000 | <1% | 961 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | $1K |
| 99447 | <1% | 58 | $1K | |
| 36416 | <1% | 2,171 | $733.11 | |
| 0154A | <1% | 14 | $532.00 | |
| 99401 | <1% | 90 | $517.19 | |
| 0124A | <1% | 13 | $504.00 | |
| 90480 | <1% | 13 | $356.15 | |
| 0081A | <1% | 13 | $280.00 | |
| 90660 | <1% | 21 | $237.87 | |
| 90710 | <1% | 12 | $132.00 | |
| 91315 | <1% | 14 | $0.03 | |
| 91307 | <1% | 643 | $0.01 | |
| 91300 | 0% | 739 | $0.00 | |
| 91308 | 0% | 67 | $0.00 | |
| 91312 | 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 officialAL-ANI, IBTEHAL (PHYICIAN)