Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PEDIATRIC SPECIALISTS OF VIRGINIA, LLC

NPI: 1699119818 · FAIRFAX, VA 22031 · Pediatrics Physician · NPI assigned 04/18/2013

$11.28M
Total Medicaid Paid
146,861
Total Claims
130,901
Beneficiaries
81
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHARRIS, MARGARET (CHIEF FINANCIAL OFFICER)
NPI Enumeration Date04/18/2013

Related Entities

Other providers sharing the same authorized official: HARRIS, MARGARET

ProviderCityStateTotal Paid
HINDS COUNTY MENTAL HEALTH JACKSON MS $42.87M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 20,138 $1.41M
2019 22,922 $1.54M
2020 16,824 $1.21M
2021 22,579 $1.76M
2022 27,417 $2.30M
2023 18,879 $1.66M
2024 18,102 $1.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 47,285 44,413 $3.94M
99215 Prolong outpt/office vis 16,010 14,504 $1.88M
41899 Unlisted procedure, dentoalveolar structures 1,618 1,301 $1.06M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,368 14,315 $923K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,727 9,225 $809K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,954 3,809 $508K
99244 Office or other outpatient consultation, moderate to high complexity 1,570 1,516 $213K
54161 206 203 $202K
42820 Tonsillectomy and adenoidectomy; younger than age 12 220 200 $201K
99243 2,027 1,917 $181K
00170 Anesthesia for intraoral procedures, including biopsy 1,403 1,358 $180K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 252 212 $148K
99205 Prolong outpt/office vis 785 771 $130K
99233 Prolong inpt eval add15 m 1,720 635 $125K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 15,501 11,061 $96K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 1,052 1,013 $91K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 772 757 $88K
72082 1,196 1,124 $63K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 107 103 $51K
92060 635 621 $40K
92015 Determination of refractive state 2,176 2,129 $39K
96113 148 143 $28K
80053 Comprehensive metabolic panel 5,711 4,095 $23K
42830 18 18 $20K
99232 Subsequent hospital care, per day, moderate complexity 373 209 $19K
96112 145 142 $17K
94010 2,074 2,015 $17K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 256 229 $16K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 298 290 $11K
83036 Hemoglobin; glycosylated (A1C) 2,346 2,227 $11K
72081 426 410 $10K
90837 Psychotherapy, 53 minutes with patient 99 62 $10K
99417 Prolong home eval add 15m 293 199 $9K
73140 308 268 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 55 55 $8K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 64 63 $7K
85045 4,876 4,357 $7K
95251 161 160 $5K
69210 112 108 $5K
0001A 106 106 $5K
0002A 104 103 $5K
96111 43 38 $5K
25600 13 13 $4K
99245 26 26 $4K
T1013 Sign language or oral interpretive services, per 15 minutes 160 150 $4K
96409 39 29 $4K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 63 51 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 51 51 $3K
73080 178 125 $3K
99242 72 70 $3K
85027 449 400 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 39 39 $3K
83735 882 685 $2K
77073 88 69 $2K
90686 181 176 $2K
96040 95 93 $2K
36415 Collection of venous blood by venipuncture 742 662 $2K
73100 73 54 $2K
84100 873 695 $2K
99255 13 13 $2K
73521 26 26 $730.00
96375 Therapeutic injection; each additional sequential IV push 38 24 $719.84
81003 457 334 $694.27
96127 98 86 $607.36
73564 15 14 $572.55
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 47 45 $322.38
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 14 14 $267.74
S0080 Injection, pentamidine isethionate, 300 mg 13 13 $244.06
85652 64 58 $199.80
77072 17 12 $184.56
J9370 Vincristine sulfate, 1 mg 23 17 $176.61
82247 29 27 $168.56
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) 27 18 $163.73
82248 18 15 $102.34
90460 Immunization administration through 18 years of age via any route, first or only component 128 122 $97.60
81002 12 12 $37.95
L8699 Prosthetic implant, not otherwise specified 129 120 $24.64
83615 12 12 $14.50
J2405 Injection, ondansetron hydrochloride, per 1 mg 22 12 $6.21
91300 21 21 $0.20
99024 14 14 $0.00