Physician
Childrens Medical Center LTD
Childrens Medical Center LTD was paid $4.27M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoCHILDRENS MEDICAL CENTER LTD
MARTINSVILLE, VA 24112
MARTINSVILLE, VA 24112
33aNPI1558497297assigned 02/26/2007
33bProvider typePediatrics Physician
28Total paid$4.27M
24GClaims114,757
24DCodes billed54
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#39 of 817
Median peer was paid$29K
This provider vs. median146×
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 | 6,130 | $220K | |
| 2019 | 24,675 | $887K | |
| 2020 | 16,857 | $597K | |
| 2021 | 17,100 | $632K | |
| 2022 | 20,417 | $778K | |
| 2023 | 16,096 | $619K | |
| 2024incomplete | 13,482 | $541K |
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 | 49% | 34,915 | 30,130 | $2.10M |
| 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 | 16% | 7,637 | 7,206 | $671K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.6% | 3,314 | 3,242 | $281K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 3,566 | 3,486 | $276K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 2,464 | 2,413 | $193K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 2,544 | 2,335 | $189K |
| 87428 | 2.5% | 2,961 | 2,843 | $105K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.9% | 2,376 | 2,272 | $81K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 879 | 796 | $70K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,924 | 2,828 | $40K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,613 | 2,477 | $35K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 2,138 | 1,207 | $34K |
42 more codes
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 380 | $29K |
| 85018 | <1% | 11,025 | $26K | |
| 99173 | <1% | 7,837 | $18K | |
| 81000 | <1% | 5,491 | $17K | |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 465 | $16K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 296 | $10K |
| 83655 | <1% | 788 | $9K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 106 | $9K |
| 99199 | Unlisted special service, procedure or report | <1% | 1,562 | $5K |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 751 | $5K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 97 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 335 | $4K |
| 99383 | <1% | 45 | $4K | |
| 90734 | <1% | 109 | $4K | |
| 90670 | <1% | 255 | $4K | |
| 3008F | <1% | 139 | $3K | |
| 99051 | <1% | 2,896 | $3K | |
| 90686 | <1% | 269 | $3K | |
| 86756 | <1% | 356 | $2K | |
| 81003 | <1% | 964 | $2K | |
| 90648 | <1% | 174 | $2K | |
| 36416 | <1% | 9,369 | $2K | |
| 90723 | <1% | 150 | $2K | |
| J0561 | Injection, penicillin g benzathine, 100,000 units | <1% | 16 | $2K |
| 90633 | <1% | 139 | $2K | |
| 99384 | <1% | 13 | $1K | |
| 90680 | <1% | 89 | $957.00 | |
| 1038F | <1% | 48 | $950.00 | |
| 90651 | <1% | 35 | $914.09 | |
| 86308 | <1% | 158 | $805.47 | |
| 96127 | <1% | 130 | $633.94 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 1,643 | $588.34 |
| 90710 | <1% | 16 | $570.78 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 50 | $412.91 |
| 1000F | <1% | 14 | $350.00 | |
| 3016F | <1% | 14 | $350.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 89 | $346.93 |
| 1036F | <1% | 13 | $325.00 | |
| 81025 | <1% | 41 | $289.63 | |
| 90647 | <1% | 19 | $187.00 | |
| 90461 | <1% | 13 | $11.55 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 27 | $7.21 |
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 officialLAFAVE, JOHN (PRESIDENT CHILDRENS MEDICAL CENTER)