Physician
Richmond Pediatric Associates, INC.
Richmond Pediatric Associates, INC. was paid $2.78M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 61% of everything it billed.
33Billing provider infoRICHMOND PEDIATRIC ASSOCIATES, INC.
RICHMOND, VA 23233
RICHMOND, VA 23233
33aNPI1689788390assigned 08/18/2006
33bProvider typePediatrics Physician
28Total paid$2.78M
24GClaims85,315
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#64 of 817
Median peer was paid$29K
This provider vs. median95×
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 | 2,677 | $71K | |
| 2019 | 7,769 | $235K | |
| 2020 | 5,208 | $162K | |
| 2021 | 8,861 | $276K | |
| 2022 | 18,750 | $585K | |
| 2023 | 21,861 | $735K | |
| 2024incomplete | 20,189 | $713K |
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 | 61% | 30,138 | 27,782 | $1.69M |
| 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 | 9.1% | 3,134 | 2,946 | $252K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 2,379 | 2,310 | $174K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.2% | 1,772 | 1,632 | $117K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.1% | 1,183 | 1,129 | $86K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.8% | 2,760 | 2,610 | $79K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.0% | 4,107 | 2,180 | $57K |
| 90686 | 1.8% | 4,251 | 4,123 | $50K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.8% | 12,321 | 11,605 | $49K |
| 90677 | 1.7% | 584 | 560 | $47K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 2,608 | 2,470 | $32K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 393 | 384 | $31K |
34 more codes
| 90670 | <1% | 574 | $18K | |
| 90461 | <1% | 4,006 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 377 | $13K |
| 90698 | <1% | 496 | $10K | |
| 99173 | <1% | 2,819 | $6K | |
| 90697 | <1% | 191 | $6K | |
| 0072A | <1% | 139 | $5K | |
| 0071A | <1% | 133 | $5K | |
| 90651 | <1% | 102 | $5K | |
| 90680 | <1% | 246 | $5K | |
| 96127 | <1% | 949 | $4K | |
| 85018 | <1% | 1,914 | $4K | |
| 90633 | <1% | 134 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 893 | $2K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 190 | $2K |
| 0002A | <1% | 29 | $1K | |
| 90619 | <1% | 36 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 38 | $1K |
| 83655 | <1% | 87 | $1K | |
| 0001A | <1% | 21 | $874.00 | |
| 96161 | <1% | 409 | $644.84 | |
| 36416 | <1% | 2,782 | $630.95 | |
| 99177 | <1% | 173 | $625.65 | |
| 92551 | <1% | 64 | $611.46 | |
| 90480 | <1% | 33 | $573.30 | |
| 99000 | <1% | 464 | $445.46 | |
| 90685 | <1% | 38 | $430.06 | |
| 90744 | <1% | 29 | $341.32 | |
| 99051 | <1% | 220 | $231.75 | |
| 90715 | <1% | 12 | $216.46 | |
| 87807 | <1% | 15 | $190.92 | |
| 96160 | <1% | 13 | $40.56 | |
| 94760 | <1% | 61 | $18.07 | |
| G8709 | Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis, mastoiditis, or bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia/gonococcal infections, venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis or uti, and acne) | 0% | 1,998 | $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 officialGALYEAN, RACHEL (PRACTICE ADMINISTRATOR)