Physician
PM Kids
PM Kids was paid $1.50M by Medicaid between Jan 2021 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 37% of everything it billed.
33Billing provider infoPM KIDS
WHITE PLAINS, MD 20695
WHITE PLAINS, MD 20695
33aNPI1689134124assigned 03/21/2019
33bProvider typePediatric Cardiology Physician
28Total paid$1.50M
24GClaims29,349
24DCodes billed53
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers
Next to other Pediatric Cardiology Physician providers in Maryland
Rank by total paid#4 of 5
Median peer was paid$1.70M
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2021 | 1,419 | $78K | |
| 2022 | 5,579 | $299K | |
| 2023 | 10,496 | $547K | |
| 2024incomplete | 11,855 | $578K |
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 | 37% | 6,674 | 5,371 | $553K |
| 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 | 15% | 1,903 | 1,580 | $228K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.6% | 1,215 | 1,037 | $114K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 1,084 | 1,010 | $113K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 5.0% | 437 | 404 | $74K |
| 93978 | 3.4% | 378 | 353 | $52K | |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.4% | 1,046 | 329 | $52K |
| 90677 | 2.6% | 359 | 313 | $39K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.4% | 339 | 320 | $36K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.8% | 830 | 710 | $27K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.8% | 163 | 143 | $26K |
| 99058 | 1.4% | 2,604 | 2,213 | $22K |
41 more codes
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,444 | $15K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 101 | $11K |
| 90698 | <1% | 602 | $11K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 60 | $10K |
| 96127 | <1% | 1,823 | $9K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 57 | $9K |
| 90670 | <1% | 453 | $9K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 63 | $7K |
| 99383 | <1% | 64 | $7K | |
| 93000 | <1% | 532 | $7K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 495 | $6K |
| 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) | <1% | 525 | $6K |
| 92551 | <1% | 678 | $6K | |
| 99051 | <1% | 936 | $5K | |
| 90744 | <1% | 288 | $5K | |
| 90633 | <1% | 270 | $5K | |
| 90710 | <1% | 222 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 545 | $4K |
| 90688 | <1% | 170 | $3K | |
| 99382 | <1% | 29 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 86 | $3K |
| 99381 | <1% | 27 | $3K | |
| 93320 | <1% | 59 | $2K | |
| 99384 | <1% | 13 | $2K | |
| 87807 | <1% | 258 | $2K | |
| 96161 | <1% | 654 | $2K | |
| 99173 | <1% | 632 | $2K | |
| 92523 | <1% | 16 | $2K | |
| 90681 | <1% | 79 | $1K | |
| 90687 | <1% | 83 | $1K | |
| 93325 | <1% | 59 | $1K | |
| 96160 | <1% | 277 | $701.12 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 34 | $636.00 |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 37 | $563.04 |
| 94760 | <1% | 425 | $457.60 | |
| 90696 | <1% | 17 | $302.64 | |
| 90734 | <1% | 13 | $232.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 102 | $46.56 |
| 99000 | 0% | 27 | $0.00 | |
| 91300 | 0% | 29 | $0.00 | |
| 90461 | 0% | 33 | $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 officialGAUVIN, WALI (CO-OWNER)
| Provider | Location | Paid |
|---|---|---|
| PM Kids Plus | Waldorf, MD | $62K |
| Global Fitness Initiative | Woodbridge, VA | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.