Physician
Virginia Pediatrics PC
Virginia Pediatrics PC was paid $3.08M by Medicaid between Jan 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoVIRGINIA PEDIATRICS PC
COLONIAL HEIGHS, VA 23834
COLONIAL HEIGHS, VA 23834
33aNPI1649446535assigned 05/01/2008
33bProvider typePediatrics Physician
28Total paid$3.08M
24GClaims96,433
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#58 of 817
Median peer was paid$29K
This provider vs. median105×
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 | 10,126 | $285K | |
| 2019 | 15,275 | $443K | |
| 2020 | 14,683 | $471K | |
| 2021 | 18,368 | $528K | |
| 2022 | 15,770 | $543K | |
| 2023 | 12,494 | $437K | |
| 2024incomplete | 9,717 | $375K |
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 | 35% | 18,919 | 16,586 | $1.08M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 3,989 | 3,859 | $306K |
| 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 | 9.3% | 3,469 | 3,182 | $285K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 3,391 | 3,211 | $243K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 6.2% | 8,116 | 7,359 | $191K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.7% | 2,329 | 2,268 | $175K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.7% | 4,015 | 3,735 | $115K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.2% | 1,218 | 1,158 | $98K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.3% | 5,583 | 5,221 | $71K |
| 90670 | 2.1% | 2,512 | 2,445 | $65K | |
| 90700 | 1.4% | 3,597 | 3,459 | $43K | |
| 92551 | 1.4% | 4,539 | 4,384 | $42K |
41 more codes
| 90713 | 1.1% | 2,788 | $35K | |
| 90648 | <1% | 2,578 | $28K | |
| 90716 | <1% | 1,246 | $27K | |
| 99381 | <1% | 302 | $25K | |
| 90651 | <1% | 650 | $24K | |
| 90686 | <1% | 2,008 | $23K | |
| 90681 | <1% | 1,199 | $23K | |
| 90707 | <1% | 1,213 | $21K | |
| 90633 | <1% | 1,588 | $20K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,210 | $19K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 257 | $18K |
| 90744 | <1% | 1,421 | $17K | |
| 90677 | <1% | 116 | $13K | |
| 81002 | <1% | 4,434 | $12K | |
| 90671 | <1% | 95 | $9K | |
| 90734 | <1% | 332 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 563 | $7K |
| 99173 | <1% | 2,688 | $6K | |
| 96127 | <1% | 1,328 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,214 | $5K |
| 83655 | <1% | 384 | $4K | |
| 90619 | <1% | 115 | $4K | |
| 90647 | <1% | 208 | $3K | |
| 90715 | <1% | 180 | $2K | |
| 90688 | <1% | 193 | $2K | |
| 90621 | <1% | 77 | $2K | |
| 99000 | <1% | 1,005 | $2K | |
| 90685 | <1% | 128 | $1K | |
| 85018 | <1% | 583 | $1K | |
| 90461 | <1% | 1,163 | $1K | |
| 96160 | <1% | 334 | $590.44 | |
| 90698 | <1% | 26 | $583.42 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $563.31 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 27 | $304.83 |
| 94664 | <1% | 13 | $158.73 | |
| 36416 | <1% | 574 | $137.08 | |
| 83718 | <1% | 17 | $102.21 | |
| 99072 | <1% | 431 | $82.56 | |
| 82465 | <1% | 17 | $54.29 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 22 | $10.77 |
| 94760 | <1% | 16 | $2.46 |
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 officialSIBAL, AMABEL (PRESIDENT)