Medicaid Provider Spending

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

PEDIATRIC ASSOCIATES OF WINCHESTER

NPI: 1508974940 · WINCHESTER, VA 22601 · Pediatrics Physician · NPI assigned 08/27/2006

$4.21M
Total Medicaid Paid
91,143
Total Claims
85,470
Beneficiaries
44
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIBSON, BRIDGET (INSURANCE COORDINATOR/ACCTS RECEIVA)
NPI Enumeration Date08/27/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,535 $204K
2019 11,406 $529K
2020 12,125 $542K
2021 13,953 $667K
2022 17,824 $832K
2023 17,440 $806K
2024 13,860 $628K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 21,615 19,831 $1.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,419 14,395 $887K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,229 3,985 $307K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,885 3,836 $305K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,687 2,640 $209K
87428 4,911 4,726 $184K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 963 943 $82K
90670 2,267 2,233 $56K
92551 4,542 4,472 $46K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,698 3,582 $45K
90688 3,103 3,067 $36K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,820 1,369 $32K
90698 1,545 1,515 $25K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 727 715 $21K
90680 1,178 1,150 $20K
99188 903 897 $19K
90677 416 402 $15K
90686 1,154 1,125 $15K
87070 2,052 2,006 $14K
90674 924 888 $14K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,316 1,233 $10K
99050 796 764 $9K
99177 1,960 1,937 $8K
90744 618 594 $8K
90633 536 532 $7K
90651 128 128 $7K
90685 402 395 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 430 408 $5K
99173 1,663 1,644 $4K
87420 395 373 $4K
90661 370 362 $3K
90619 66 65 $2K
94760 1,582 1,488 $2K
99072 716 689 $2K
90472 Immunization administration, each additional vaccine (list separately) 81 79 $2K
90710 26 26 $2K
90707 53 50 $840.01
90716 26 25 $427.34
90672 36 36 $386.30
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 57 52 $290.02
90700 12 12 $133.65
99051 811 776 $125.31
96127 12 12 $50.87
90381 13 13 $11.01