Physician
Childrens National Specialist of Virginia LLC
Childrens National Specialist of Virginia LLC was paid $43K by Medicaid between Jan 2018 and Aug 2018, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoCHILDRENS NATIONAL SPECIALIST OF VIRGINIA LLC
FAIRFAX, VA 22031
FAIRFAX, VA 22031
33aNPI1639304918assigned 05/15/2009
33bProvider typePediatrics Physician
28Total paid$43K
24GClaims758
24DCodes billed6
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#351 of 817
Median peer was paid$29K
This provider vs. median1.5×
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 | 758 | $43K |
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 | 31% | 231 | 223 | $13K |
| 99243 | 30% | 136 | 135 | $13K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 48 | 47 | $5K |
| 92015 | Determination of refractive state | 10% | 277 | 272 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.0% | 40 | 40 | $4K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 8.7% | 26 | 26 | $4K |
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 officialPFENNIG, SUSAN (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| CNMC Clinic at Dunbar HS | Washington, DC | $40K |
| CNMC Clinic at Ballou HS | Washington, DC | $15K |
| Children's Hospital | Washington, DC | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.