Physician
Children's Medical Group of Salisbury, PA
Children's Medical Group of Salisbury, PA was paid $5.04M by Medicaid between Apr 2018 and Dec 2024, across 61 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoCHILDREN'S MEDICAL GROUP OF SALISBURY, PA
SALISBURY, MD 21804
SALISBURY, MD 21804
33aNPI1568429538assigned 04/26/2006
33bProvider typePediatrics Physician
28Total paid$5.04M
24GClaims103,986
24DCodes billed61
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#20 of 306
Median peer was paid$206K
This provider vs. median24×
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 | 59 | $1K | |
| 2019 | 138 | $3K | |
| 2020 | 14,830 | $797K | |
| 2021 | 21,823 | $1.35M | |
| 2022 | 27,054 | $1.25M | |
| 2023 | 23,400 | $958K | |
| 2024incomplete | 16,682 | $680K |
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 | 35% | 17,021 | 11,645 | $1.77M |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 25% | 3,719 | 2,996 | $1.24M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 12% | 4,038 | 2,981 | $580K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 6,961 | 5,071 | $513K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 3.1% | 1,682 | 776 | $155K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 816 | 716 | $79K |
| 76536 | 1.4% | 970 | 629 | $70K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 681 | 611 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 767 | 578 | $65K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 600 | 498 | $59K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.0% | 5,824 | 3,671 | $52K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 732 | 532 | $48K |
49 more codes
| 69210 | <1% | 1,070 | $37K | |
| 90686 | <1% | 1,472 | $28K | |
| 99050 | <1% | 1,882 | $27K | |
| 3074F | <1% | 8,661 | $26K | |
| 76642 | <1% | 440 | $26K | |
| 3078F | <1% | 8,654 | $26K | |
| 94760 | <1% | 14,189 | $20K | |
| 92551 | <1% | 2,280 | $19K | |
| 96127 | <1% | 3,105 | $19K | |
| D1206 | Topical application of fluoride varnish | <1% | 711 | $17K |
| 90838 | <1% | 177 | $15K | |
| 94664 | <1% | 1,092 | $13K | |
| 80061 | Lipid panel | <1% | 1,151 | $12K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 272 | $8K |
| 85018 | <1% | 3,855 | $8K | |
| 94375 | <1% | 184 | $5K | |
| 94667 | <1% | 248 | $5K | |
| 99173 | <1% | 1,837 | $4K | |
| 82947 | <1% | 1,137 | $4K | |
| 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% | 232 | $3K |
| 90672 | <1% | 152 | $3K | |
| 95012 | <1% | 214 | $3K | |
| 0001A | <1% | 73 | $3K | |
| 90656 | <1% | 130 | $2K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 178 | $2K |
| 0002A | <1% | 50 | $2K | |
| 90670 | <1% | 79 | $2K | |
| 90698 | <1% | 60 | $1K | |
| 81000 | <1% | 413 | $1K | |
| 0071A | <1% | 29 | $1K | |
| 0072A | <1% | 29 | $1K | |
| 0124A | <1% | 38 | $884.00 | |
| 97802 | <1% | 187 | $876.87 | |
| 90620 | <1% | 38 | $861.48 | |
| 90651 | <1% | 30 | $605.28 | |
| A4617 | Mouth piece | <1% | 375 | $584.31 |
| 0003A | <1% | 13 | $440.00 | |
| 96161 | <1% | 171 | $399.47 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 143 | $348.25 |
| 90734 | <1% | 13 | $279.36 | |
| 96160 | <1% | 963 | $244.86 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 21 | $131.40 |
| 93040 | <1% | 17 | $106.70 | |
| 94761 | <1% | 25 | $77.22 | |
| 36416 | <1% | 3,986 | $49.50 | |
| J7614 | Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg | <1% | 46 | $9.36 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 20 | $1.72 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 17 | $0.30 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 16 | $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 officialCLENDENEN, WILLIAM (CO-OWNER)