Children's Medical Group, P.A.
Children's Medical Group, P.A. was paid $6.80M by Medicaid between Jan 2018 and Dec 2024, across 64 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP, P.A.
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1528165750assigned 09/20/2006
33bProvider typeSpecialist
28Total paid$6.80M
24GClaims222,762
24DCodes billed64
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#3 of 218
Median peer was paid$88K
This provider vs. median78×
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 | 7,638 | $196K | |
| 2019 | 3,680 | $84K | |
| 2020 | 41,858 | $1.18M | |
| 2021 | 45,271 | $1.20M | |
| 2022 | 52,118 | $1.51M | |
| 2023 | 42,604 | $1.35M | |
| 2024incomplete | 29,593 | $1.27M |
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 | 40% | 35,979 | 32,933 | $2.75M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 8,322 | 7,935 | $807K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 9.7% | 7,448 | 7,013 | $659K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 5,702 | 5,472 | $551K |
| 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 | 6.0% | 4,198 | 3,800 | $410K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.9% | 3,143 | 2,991 | $336K |
| 94760 | 2.5% | 58,110 | 51,816 | $171K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 15,771 | 14,038 | $142K |
| 90698 | 1.5% | 5,604 | 5,302 | $101K | |
| D1206 | Topical application of fluoride varnish | 1.4% | 4,102 | 3,981 | $95K |
| 90670 | 1.1% | 4,103 | 3,868 | $74K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.1% | 1,125 | 959 | $73K |
52 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 1,346 | $69K |
| 92551 | <1% | 6,091 | $54K | |
| 90686 | <1% | 2,917 | $50K | |
| 90680 | <1% | 2,160 | $38K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,086 | $38K |
| 54150 | <1% | 522 | $37K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,118 | $34K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,616 | $29K |
| 96127 | <1% | 6,626 | $27K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,524 | $23K |
| 90677 | <1% | 1,097 | $23K | |
| 90744 | <1% | 1,187 | $21K | |
| 90633 | <1% | 1,049 | $17K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 2,157 | $15K |
| 87081 | <1% | 2,352 | $13K | |
| 90651 | <1% | 672 | $12K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 5,294 | $12K |
| 87428 | <1% | 399 | $11K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 335 | $11K |
| 90619 | <1% | 537 | $10K | |
| 96161 | <1% | 3,752 | $8K | |
| 90656 | <1% | 414 | $8K | |
| 90734 | <1% | 452 | $8K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 66 | $7K |
| 99051 | <1% | 715 | $7K | |
| 90715 | <1% | 385 | $7K | |
| 99173 | <1% | 2,790 | $7K | |
| 90710 | <1% | 298 | $5K | |
| 99381 | <1% | 61 | $5K | |
| 90696 | <1% | 251 | $4K | |
| 90620 | <1% | 170 | $4K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 65 | $3K |
| 87807 | <1% | 196 | $2K | |
| 83655 | <1% | 217 | $2K | |
| 0072A | <1% | 47 | $2K | |
| 99174 | <1% | 289 | $2K | |
| 99000 | <1% | 9,931 | $1K | |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 128 | $751.14 |
| 85027 | <1% | 125 | $694.74 | |
| 90474 | <1% | 91 | $676.31 | |
| 81001 | <1% | 160 | $411.91 | |
| 36416 | <1% | 2,955 | $351.05 | |
| 85007 | <1% | 114 | $326.84 | |
| 90716 | <1% | 38 | $279.36 | |
| 90688 | <1% | 12 | $218.03 | |
| 0071A | <1% | 15 | $200.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 12 | $78.72 |
| 85018 | <1% | 44 | $65.24 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 1,027 | $4.87 |
| 91300 | 0% | 81 | $0.00 | |
| 90707 | 0% | 18 | $0.00 | |
| 91307 | 0% | 151 | $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 officialWILSON, CHERIE (OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Children's Medical Group, P.A. | Cumberland, MD | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.