Physician
Pediatric Specialists of Virginia, LLC
Pediatric Specialists of Virginia, LLC was paid $11.28M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.
33Billing provider infoPEDIATRIC SPECIALISTS OF VIRGINIA, LLC
FAIRFAX, VA 22031
FAIRFAX, VA 22031
33aNPI1699119818assigned 04/18/2013
33bProvider typePediatrics Physician
28Total paid$11.28M
24GClaims146,861
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#5 of 817
Median peer was paid$29K
This provider vs. median385×
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 | 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 | |
| 2024incomplete | 18,102 | $1.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 35% | 47,285 | 44,413 | $3.94M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 17% | 16,010 | 14,504 | $1.88M |
| 41899 | Unlisted procedure, dentoalveolar structures | 9.4% | 1,618 | 1,301 | $1.06M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.2% | 15,368 | 14,315 | $923K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.2% | 9,727 | 9,225 | $809K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.5% | 3,954 | 3,809 | $508K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.9% | 1,570 | 1,516 | $213K |
| 54161 | 1.8% | 206 | 203 | $202K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 1.8% | 220 | 200 | $201K |
| 99243 | 1.6% | 2,027 | 1,917 | $181K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 1.6% | 1,403 | 1,358 | $180K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 1.3% | 252 | 212 | $148K |
69 more codes
| 99205 | Prolong outpt/office vis | 1.2% | 785 | $130K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | 1.1% | 1,720 | $125K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 15,501 | $96K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 1,052 | $91K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 772 | $88K |
| 72082 | <1% | 1,196 | $63K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 107 | $51K |
| 92060 | <1% | 635 | $40K | |
| 92015 | Determination of refractive state | <1% | 2,176 | $39K |
| 96113 | <1% | 148 | $28K | |
| 80053 | Comprehensive metabolic panel | <1% | 5,711 | $23K |
| 42830 | <1% | 18 | $20K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 373 | $19K |
| 96112 | <1% | 145 | $17K | |
| 94010 | <1% | 2,074 | $17K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 256 | $16K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 298 | $11K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 2,346 | $11K |
| 72081 | <1% | 426 | $10K | |
| 90837 | Psychotherapy session, about an hour | <1% | 99 | $10K |
| 99417 | Prolong home eval add 15m | <1% | 293 | $9K |
| 73140 | <1% | 308 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 55 | $8K |
| 96413 | Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance | <1% | 64 | $7K |
| 85045 | <1% | 4,876 | $7K | |
| 95251 | <1% | 161 | $5K | |
| 69210 | <1% | 112 | $5K | |
| 0001A | <1% | 106 | $5K | |
| 0002A | <1% | 104 | $5K | |
| 96111 | <1% | 43 | $5K | |
| 25600 | <1% | 13 | $4K | |
| 99245 | <1% | 26 | $4K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 160 | $4K |
| 96409 | <1% | 39 | $4K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 63 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 51 | $3K |
| 73080 | <1% | 178 | $3K | |
| 99242 | <1% | 72 | $3K | |
| 85027 | <1% | 449 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 39 | $3K |
| 83735 | <1% | 882 | $2K | |
| 77073 | <1% | 88 | $2K | |
| 90686 | <1% | 181 | $2K | |
| 96040 | <1% | 95 | $2K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 742 | $2K |
| 73100 | <1% | 73 | $2K | |
| 84100 | <1% | 873 | $2K | |
| 99255 | <1% | 13 | $2K | |
| 73521 | <1% | 26 | $730.00 | |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 38 | $719.84 |
| 81003 | <1% | 457 | $694.27 | |
| 96127 | <1% | 98 | $607.36 | |
| 73564 | <1% | 15 | $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) | <1% | 47 | $322.38 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 14 | $267.74 |
| S0080 | Injection, pentamidine isethionate, 300 mg | <1% | 13 | $244.06 |
| 85652 | <1% | 64 | $199.80 | |
| 77072 | <1% | 17 | $184.56 | |
| J9370 | Vincristine sulfate, 1 mg | <1% | 23 | $176.61 |
| 82247 | <1% | 29 | $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) | <1% | 27 | $163.73 |
| 82248 | <1% | 18 | $102.34 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 128 | $97.60 |
| 81002 | <1% | 12 | $37.95 | |
| L8699 | Prosthetic implant, not otherwise specified | <1% | 129 | $24.64 |
| 83615 | <1% | 12 | $14.50 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 22 | $6.21 |
| 91300 | <1% | 21 | $0.20 | |
| 99024 | 0% | 14 | $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 officialHARRIS, MARGARET (CHIEF FINANCIAL OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Hinds County Mental Health | Jackson, MS | $42.87M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.