Town Pediatrics, PC

Town Pediatrics, PC was paid $56K by Medicaid between Jan 2018 and Aug 2020, across 7 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 80% of everything it billed.

33Billing provider infoTOWN PEDIATRICS, PC
LEESBURG, VA 20175

33aNPI1689727695assigned 01/21/2007

33bProvider typePediatrics Physician

28Total paid$56K

24GClaims1,164

24DCodes billed7

24AFirst – last monthJan 2018 – Aug 2020

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#307 of 817

Median peer was paid$29K

This provider vs. median1.9×

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
2018	375	$19K
2019	555	$24K
2020	234	$13K

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	80%	870	791	$45K
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	14%	111	94	$8K
90686		2.1%	119	106	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	1.8%	13	13	$1K
96160		<1%	12	12	$300.00
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	26	12	$273.42
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	12	$169.08

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 officialRAPPAPORT, PATRICIA (PRESIDENT)