Physician
Pediatric Associates of Charlottesville
Pediatric Associates of Charlottesville was paid $6.04M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPEDIATRIC ASSOCIATES OF CHARLOTTESVILLE
CHARLOTTESVILLE, VA 22902
CHARLOTTESVILLE, VA 22902
33aNPI1528178787assigned 08/30/2006
33bProvider typePediatrics Physician
28Total paid$6.04M
24GClaims185,348
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#19 of 817
Median peer was paid$29K
This provider vs. median206×
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 | 7,960 | $235K | |
| 2019 | 30,028 | $879K | |
| 2020 | 24,965 | $757K | |
| 2021 | 31,411 | $977K | |
| 2022 | 32,957 | $1.06M | |
| 2023 | 31,655 | $1.11M | |
| 2024incomplete | 26,372 | $1.02M |
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 | 46% | 47,839 | 45,025 | $2.76M |
| 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 | 21% | 15,356 | 14,569 | $1.29M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 5,615 | 5,505 | $438K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.0% | 5,077 | 4,681 | $365K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.1% | 4,029 | 3,914 | $307K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.4% | 1,745 | 1,716 | $145K |
| 90686 | 2.3% | 12,019 | 11,602 | $141K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 4,233 | 4,069 | $56K |
| 90677 | <1% | 332 | 310 | $55K | |
| 90670 | <1% | 1,874 | 1,813 | $52K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 3,780 | 1,829 | $49K |
| 92551 | <1% | 3,491 | 3,399 | $34K |
53 more codes
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 16,390 | $33K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 6,554 | $31K |
| 99173 | <1% | 11,910 | $28K | |
| 90648 | <1% | 2,296 | $25K | |
| 99188 | <1% | 947 | $19K | |
| 90723 | <1% | 867 | $19K | |
| 90680 | <1% | 629 | $16K | |
| 0072A | <1% | 364 | $14K | |
| 90656 | <1% | 963 | $14K | |
| 0071A | <1% | 328 | $13K | |
| 90461 | <1% | 3,674 | $12K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 362 | $12K |
| 0002A | <1% | 271 | $11K | |
| 90651 | <1% | 250 | $10K | |
| 90734 | <1% | 258 | $9K | |
| 0001A | <1% | 201 | $8K | |
| 99051 | <1% | 14,059 | $8K | |
| 87081 | <1% | 1,615 | $8K | |
| 90633 | <1% | 467 | $7K | |
| 99000 | <1% | 6,556 | $6K | |
| 91321 | <1% | 79 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 3,505 | $6K |
| 90710 | <1% | 50 | $5K | |
| 90480 | <1% | 203 | $4K | |
| 96127 | <1% | 811 | $4K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 39 | $3K |
| 91322 | <1% | 34 | $3K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 48 | $2K |
| 0003A | <1% | 32 | $1K | |
| 85018 | <1% | 536 | $1K | |
| 0111A | <1% | 30 | $1K | |
| 0124A | <1% | 32 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 20 | $1K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 56 | $994.48 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 89 | $734.65 |
| 90715 | <1% | 44 | $674.77 | |
| 36416 | <1% | 1,469 | $418.23 | |
| 83655 | <1% | 30 | $363.26 | |
| 99462 | <1% | 15 | $361.30 | |
| 90696 | <1% | 25 | $353.62 | |
| 99072 | <1% | 3,381 | $307.20 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 17 | $150.00 |
| 90474 | <1% | 135 | $116.14 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 44 | $111.93 |
| 82247 | <1% | 16 | $89.96 | |
| 86580 | <1% | 14 | $75.05 | |
| 96161 | <1% | 16 | $26.12 | |
| 81003 | <1% | 13 | $25.76 | |
| 94760 | <1% | 15 | $12.74 | |
| 91311 | <1% | 75 | $0.56 | |
| 91312 | <1% | 32 | $0.19 | |
| 91307 | <1% | 17 | $0.17 | |
| 1220F | 0% | 75 | $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 officialWISMAN, PAUL (PHYSICIAN)