Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Above & Beyond Pediatrics

Above & Beyond Pediatrics was paid $661K by Medicaid between Nov 2022 and Dec 2024, across 42 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.

33Billing provider infoABOVE & BEYOND PEDIATRICS
WALDORF, MD 20602
33aNPI1659025559assigned 02/09/2022
28Total paid$661K
24GClaims13,243
24DCodes billed42
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers

Next to other Primary Care Clinic/Center providers in Maryland

Rank by total paid#24 of 112
Median peer was paid$200K
This provider vs. median3.3×

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

$0$25K$50K$75K2018201920202021202220232024
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
YearClaimsPaid
2022100$8K
20231,782$117K
2024incomplete11,361$537K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 29% 1,784 1,329 $190K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 25% 2,141 1,612 $166K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 11% 641 538 $70K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.7% 534 442 $44K
90677 4.2% 379 321 $28K
99383 3.3% 210 179 $22K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2.6% 176 153 $17K
92552 2.6% 807 703 $17K
99384 2.3% 126 114 $15K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.8% 81 71 $12K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.7% 68 54 $11K
90697 1.7% 320 275 $11K
30 more codes
99381 1.3% 132 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 966 $8K
99382 1.2% 78 $8K
90680 <1% 274 $5K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 47 $4K
99203 Doctor's office visit, new patient (routine) <1% 38 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 69 $3K
90619 <1% 52 $3K
96127 <1% 330 $2K
90633 <1% 114 $2K
99173 <1% 794 $2K
96161 <1% 598 $1K
87807 <1% 120 $984.31
90621 <1% 40 $882.69
90651 <1% 45 $861.36
90710 <1% 42 $744.96
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 90 $726.41
99080 <1% 248 $560.00
94664 <1% 29 $336.00
90686 <1% 17 $325.80
36415 Collection of venous blood by venipuncture <1% 155 $310.39
90700 <1% 15 $302.64
90460 Immunization administration through 18 years of age via any route, first or only component <1% 920 $139.68
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $125.59
99051 <1% 54 $110.00
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 14 $84.54
A7015 Aerosol mask, used with dme nebulizer <1% 14 $8.57
36416 <1% 46 $6.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 16 $0.64
90461 0% 604 $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 officialHUGHES-KAPENZI, TUERE (OWNER)