PEDIATRIC SPECIALISTS OF VIRGINIA, LLC
NPI: 1699119818
· FAIRFAX, VA 22031
· 208000000X
$11.28M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
47,285 |
44,413 |
$3.94M |
| 99215 |
Prolong outpt/office vis |
16,010 |
14,504 |
$1.88M |
| 41899 |
|
1,618 |
1,301 |
$1.06M |
| 99213 |
|
15,368 |
14,315 |
$923K |
| 99203 |
|
9,727 |
9,225 |
$809K |
| 99204 |
|
3,954 |
3,809 |
$508K |
| 99244 |
|
1,570 |
1,516 |
$213K |
| 54161 |
|
206 |
203 |
$202K |
| 42820 |
|
220 |
200 |
$201K |
| 99243 |
|
2,027 |
1,917 |
$181K |
| 00170 |
|
1,403 |
1,358 |
$180K |
| 69436 |
|
252 |
212 |
$148K |
| 99205 |
Prolong outpt/office vis |
785 |
771 |
$130K |
| 99233 |
Prolong inpt eval add15 m |
1,720 |
635 |
$125K |
| 85025 |
|
15,501 |
11,061 |
$96K |
| 95004 |
|
1,052 |
1,013 |
$91K |
| 92014 |
|
772 |
757 |
$88K |
| 72082 |
|
1,196 |
1,124 |
$63K |
| 43239 |
|
107 |
103 |
$51K |
| 92060 |
|
635 |
621 |
$40K |
| 92015 |
|
2,176 |
2,129 |
$39K |
| 96113 |
|
148 |
143 |
$28K |
| 80053 |
|
5,711 |
4,095 |
$23K |
| 42830 |
|
18 |
18 |
$20K |
| 99232 |
|
373 |
209 |
$19K |
| 96112 |
|
145 |
142 |
$17K |
| 94010 |
|
2,074 |
2,015 |
$17K |
| G0108 |
Diab manage trn per indiv |
256 |
229 |
$16K |
| 99212 |
|
298 |
290 |
$11K |
| 83036 |
|
2,346 |
2,227 |
$11K |
| 72081 |
|
426 |
410 |
$10K |
| 90837 |
|
99 |
62 |
$10K |
| 99417 |
Prolong home eval add 15m |
293 |
199 |
$9K |
| 73140 |
|
308 |
268 |
$8K |
| 92004 |
|
55 |
55 |
$8K |
| 96413 |
|
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 lang/oral interpreter |
160 |
150 |
$4K |
| 96409 |
|
39 |
29 |
$4K |
| 90833 |
|
63 |
51 |
$4K |
| 92012 |
|
51 |
51 |
$3K |
| 73080 |
|
178 |
125 |
$3K |
| 99242 |
|
72 |
70 |
$3K |
| 85027 |
|
449 |
400 |
$3K |
| 99202 |
|
39 |
39 |
$3K |
| 83735 |
|
882 |
685 |
$2K |
| 77073 |
|
88 |
69 |
$2K |
| 90686 |
|
181 |
176 |
$2K |
| 96040 |
|
95 |
93 |
$2K |
| 36415 |
|
742 |
662 |
$2K |
| 73100 |
|
73 |
54 |
$2K |
| 84100 |
|
873 |
695 |
$2K |
| 99255 |
|
13 |
13 |
$2K |
| 73521 |
|
26 |
26 |
$730.00 |
| 96375 |
|
38 |
24 |
$719.84 |
| 81003 |
|
457 |
334 |
$694.27 |
| 96127 |
|
98 |
86 |
$607.36 |
| 73564 |
|
15 |
14 |
$572.55 |
| G2212 |
Prolong outpt/office vis |
47 |
45 |
$322.38 |
| 99211 |
|
14 |
14 |
$267.74 |
| S0080 |
Injection, pentamidine iseth |
13 |
13 |
$244.06 |
| 85652 |
|
64 |
58 |
$199.80 |
| 77072 |
|
17 |
12 |
$184.56 |
| J9370 |
Vincristine sulfate 1 mg inj |
23 |
17 |
$176.61 |
| 82247 |
|
29 |
27 |
$168.56 |
| G2211 |
Complex e/m visit add on |
27 |
18 |
$163.73 |
| 82248 |
|
18 |
15 |
$102.34 |
| 90460 |
|
128 |
122 |
$97.60 |
| 81002 |
|
12 |
12 |
$37.95 |
| L8699 |
Prosthetic implant nos |
129 |
120 |
$24.64 |
| 83615 |
|
12 |
12 |
$14.50 |
| J2405 |
Ondansetron hcl injection |
22 |
12 |
$6.21 |
| 91300 |
|
21 |
21 |
$0.20 |
| 99024 |
|
14 |
14 |
$0.00 |