Clinic
Ambush Pediatrics and Family Medical Clinic
Ambush Pediatrics and Family Medical Clinic was paid $4.40M by Medicaid between Dec 2020 and Aug 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoAMBUSH PEDIATRICS AND FAMILY MEDICAL CLINIC
HALETHORPE, MD 21227
HALETHORPE, MD 21227
33aNPI1457956948assigned 12/02/2020
33bProvider typeHealth Service Clinic/Center
28Total paid$4.40M
24GClaims99,281
24DCodes billed46
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Health Service Clinic/Center providers in Maryland
Rank by total paid#3 of 25
Median peer was paid$123K
This provider vs. median36×
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 | |
|---|---|---|---|
| 2020 | 172 | $2K | |
| 2021 | 6,596 | $284K | |
| 2022 | 25,907 | $1.40M | |
| 2023 | 41,670 | $1.79M | |
| 2024incomplete | 24,936 | $919K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 45% | 18,688 | 13,166 | $1.99M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 13,935 | 9,884 | $985K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 3,370 | 2,823 | $317K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.4% | 2,493 | 2,110 | $237K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 2,284 | 1,735 | $184K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.9% | 1,257 | 1,060 | $129K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.7% | 11,425 | 9,167 | $120K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.2% | 7,193 | 5,869 | $54K |
| 96127 | <1% | 7,692 | 6,314 | $36K | |
| 90670 | <1% | 1,858 | 1,586 | $36K | |
| 90647 | <1% | 1,742 | 1,496 | $33K | |
| 90658 | <1% | 1,503 | 1,171 | $27K |
34 more codes
| 36410 | <1% | 3,737 | $24K | |
| 90723 | <1% | 1,142 | $23K | |
| 90680 | <1% | 967 | $19K | |
| 90633 | <1% | 975 | $19K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 1,972 | $18K |
| 90716 | <1% | 865 | $16K | |
| 90707 | <1% | 853 | $16K | |
| 99383 | <1% | 155 | $16K | |
| 90651 | <1% | 762 | $15K | |
| 96160 | <1% | 6,131 | $14K | |
| 99381 | <1% | 128 | $12K | |
| 99173 | <1% | 4,766 | $10K | |
| 99382 | <1% | 88 | $10K | |
| 90657 | <1% | 432 | $7K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,626 | $5K |
| 90696 | <1% | 245 | $5K | |
| 90733 | <1% | 182 | $4K | |
| 86328 | <1% | 91 | $4K | |
| 90715 | <1% | 171 | $4K | |
| 90700 | <1% | 136 | $2K | |
| 99385 | <1% | 16 | $2K | |
| 99384 | <1% | 15 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90620 | <1% | 28 | $651.84 | |
| 0001A | <1% | 13 | $520.00 | |
| 2015F | <1% | 40 | $375.00 | |
| 90621 | <1% | 13 | $302.25 | |
| 90688 | <1% | 12 | $279.36 | |
| 83655 | <1% | 30 | $242.32 | |
| 96161 | <1% | 75 | $114.69 | |
| 97802 | <1% | 62 | $90.09 | |
| 94664 | <1% | 52 | $28.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | <1% | 17 | $6.00 |
| 99401 | 0% | 32 | $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 officialAMBUSH, JACQUELINE (OWNER/OPERATOR)