Physician
PL Pediatrics, PLLC
PL Pediatrics, PLLC was paid $645K by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoPL PEDIATRICS, PLLC
FREDERICKSBURG, VA 22408
FREDERICKSBURG, VA 22408
33aNPI1518998236assigned 07/05/2006
33bProvider typePediatrics Physician
28Total paid$645K
24GClaims15,639
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#133 of 817
Median peer was paid$29K
This provider vs. median22×
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 | 1,325 | $37K | |
| 2019 | 2,523 | $72K | |
| 2020 | 1,680 | $62K | |
| 2021 | 1,279 | $49K | |
| 2022 | 1,833 | $75K | |
| 2023 | 3,592 | $161K | |
| 2024incomplete | 3,407 | $188K |
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 | 47% | 3,790 | 3,382 | $305K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 1,029 | 1,002 | $78K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,352 | 1,197 | $71K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.2% | 600 | 549 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 431 | 429 | $33K |
| 90670 | 4.6% | 591 | 561 | $30K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.0% | 310 | 304 | $26K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 2,675 | 2,544 | $11K |
| 90651 | 1.3% | 108 | 104 | $8K | |
| 90686 | 1.2% | 685 | 671 | $8K | |
| 90697 | <1% | 140 | 136 | $5K | |
| 90461 | <1% | 1,547 | 1,455 | $4K |
25 more codes
| 90734 | <1% | 96 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 219 | $3K |
| 90633 | <1% | 171 | $3K | |
| 90648 | <1% | 188 | $2K | |
| 92551 | <1% | 190 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 106 | $1K |
| 90681 | <1% | 28 | $1K | |
| 90656 | <1% | 81 | $1K | |
| 83655 | <1% | 155 | $1K | |
| 90723 | <1% | 58 | $936.95 | |
| 90716 | <1% | 39 | $827.38 | |
| 90698 | <1% | 57 | $751.31 | |
| 90710 | <1% | 24 | $715.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 302 | $703.27 |
| 99173 | <1% | 186 | $452.21 | |
| 90715 | <1% | 13 | $374.69 | |
| 85018 | <1% | 168 | $356.96 | |
| 90707 | <1% | 13 | $224.41 | |
| 90700 | <1% | 13 | $209.48 | |
| 99050 | <1% | 15 | $147.37 | |
| 90696 | <1% | 13 | $110.00 | |
| 36416 | <1% | 192 | $85.29 | |
| 99000 | <1% | 28 | $51.52 | |
| 81003 | <1% | 14 | $33.80 | |
| 94760 | <1% | 12 | $21.20 |
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 officialMANCINI, PAMELA (PHYSICIAN/OWNER)