Adult and Pediatric Clinic, PC

Adult and Pediatric Clinic, PC was paid $54K by Medicaid between Jan 2020 and Jul 2024, across 11 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 88% of everything it billed.

33Billing provider infoADULT AND PEDIATRIC CLINIC, PC
ROCKVILLE, MD 20850

33aNPI1497935605assigned 11/06/2007

33bProvider typeGeneral Practice Physician

28Total paid$54K

24GClaims1,141

24DCodes billed11

24AFirst – last monthJan 2020 – Jul 2024

Compared with peers

Next to other General Practice Physician providers in Maryland

Rank by total paid#26 of 40

Median peer was paid$190K

This provider vs. median0.3×

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	212	$11K
2021	166	$9K
2022	367	$15K
2023	243	$16K
2024incomplete	153	$3K

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	88%	667	480	$48K
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	8.8%	45	37	$5K
96127		1.4%	196	165	$775.18
G8510	Screening for depression is documented as negative, a follow-up plan is not required	<1%	73	59	$270.00
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care	<1%	16	16	$235.01
90688		<1%	15	12	$219.01
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	34	24	$162.96
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	39	32	$63.00
G9622	Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method	<1%	21	17	$54.50
3008F		<1%	17	13	$24.00
G8482	Influenza immunization administered or previously received	<1%	18	14	$21.00

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 officialMITTAL, SHAMA (MEDICAL DIRECTOR)