Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PHYSICIANS TO CHILDREN, INC.

NPI: 1649362351 · ROANOKE, VA 24013 · Pediatrics Physician · NPI assigned 09/29/2006

$5.40M
Total Medicaid Paid
115,075
Total Claims
104,354
Beneficiaries
45
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPERDUE, SARA (ADMINISTRATOR)
NPI Enumeration Date09/29/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,742 $132K
2019 17,185 $818K
2020 17,583 $776K
2021 20,659 $958K
2022 20,163 $960K
2023 19,227 $939K
2024 17,516 $815K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 39,748 36,177 $2.29M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,613 11,282 $1.03M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7,354 7,080 $583K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,208 6,514 $524K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,227 3,132 $252K
96110 Developmental screening, with scoring and documentation, per standardized instrument 13,336 10,773 $117K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,385 3,142 $111K
90686 7,270 6,882 $85K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 658 636 $56K
90698 3,509 3,346 $55K
90670 2,805 2,702 $55K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 642 572 $43K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 998 955 $42K
90834 Psychotherapy, 45 minutes with patient 433 168 $24K
90677 625 574 $21K
96127 4,202 3,892 $21K
90680 934 886 $15K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 794 738 $13K
90656 556 543 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 253 238 $9K
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) 581 549 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 409 385 $5K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 280 130 $4K
90744 263 236 $3K
99215 Prolong outpt/office vis 26 25 $3K
90651 60 56 $3K
90633 195 183 $2K
0071A 41 39 $2K
90685 130 126 $1K
92587 88 83 $1K
87081 188 180 $1K
0072A 32 31 $1K
99000 1,228 1,150 $1K
90710 26 24 $1K
90619 32 30 $874.41
99177 211 205 $860.43
85025 Blood count; complete (CBC), automated, and automated differential WBC count 102 98 $789.89
90700 28 26 $358.44
92551 28 28 $283.76
83655 18 13 $203.51
90734 17 16 $195.04
90713 12 12 $158.97
36416 463 432 $143.99
36415 Collection of venous blood by venipuncture 42 40 $113.70
99173 25 25 $62.56