Physician
Opal Court Pediatrics, P.A.
Opal Court Pediatrics, P.A. was paid $1.04M by Medicaid between Jan 2020 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoOPAL COURT PEDIATRICS, P.A.
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1649235888assigned 04/19/2006
33bProvider typePediatric Adolescent Medicine Physician
28Total paid$1.04M
24GClaims20,038
24DCodes billed30
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Pediatric Adolescent Medicine Physician providers in Maryland
Rank by total paid#12 of 54
Median peer was paid$131K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2020 | 3,979 | $171K | |
| 2021 | 5,393 | $244K | |
| 2022 | 3,032 | $176K | |
| 2023 | 3,964 | $225K | |
| 2024incomplete | 3,670 | $226K |
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% | 6,458 | 5,807 | $515K |
| 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 | 19% | 1,759 | 1,632 | $197K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 1,040 | 1,031 | $112K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.5% | 778 | 766 | $78K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 365 | 353 | $39K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.9% | 3,188 | 2,988 | $31K |
| 90686 | 1.8% | 822 | 789 | $18K | |
| 92551 | 1.2% | 1,362 | 1,335 | $13K | |
| 90670 | <1% | 411 | 411 | $10K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 545 | 499 | $6K |
| 90647 | <1% | 191 | 191 | $4K | |
| 99173 | <1% | 1,225 | 1,199 | $3K |
18 more codes
| 90723 | <1% | 132 | $3K | |
| 87428 | <1% | 76 | $2K | |
| 90656 | <1% | 80 | $2K | |
| 96161 | <1% | 692 | $2K | |
| 90633 | <1% | 68 | $2K | |
| 90710 | <1% | 38 | $884.64 | |
| 90681 | <1% | 36 | $838.08 | |
| 96127 | <1% | 147 | $659.71 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 33 | $657.46 |
| 90671 | <1% | 27 | $582.00 | |
| 96160 | <1% | 146 | $385.57 | |
| 90677 | <1% | 15 | $349.20 | |
| 99177 | <1% | 67 | $334.68 | |
| 83655 | <1% | 25 | $276.56 | |
| 85018 | <1% | 64 | $143.35 | |
| 87807 | <1% | 14 | $129.47 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 12 | $18.00 |
| 36416 | <1% | 222 | $1.50 |
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 officialBUDI, ATCHUTHANAND (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| After Hours Pediatrics | Hagerstown, MD | $168K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.