Simply 4 Kidz Healthcare, LLC

Simply 4 Kidz Healthcare, LLC was paid $25K by Medicaid between Jan 2020 and Jun 2022, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 86% of everything it billed.

33Billing provider infoSIMPLY 4 KIDZ HEALTHCARE, LLC
HAGERSTOWN, MD 21740

33aNPI1699220731assigned 08/18/2016

33bProvider typePediatric Nurse Practitioner

28Total paid$25K

24GClaims497

24DCodes billed6

24AFirst – last monthJan 2020 – Jun 2022

Compared with peers

Next to other Pediatric Nurse Practitioner providers in Maryland

Rank by total paid#10 of 20

Median peer was paid$14K

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
2020	136	$2K
2021	171	$12K
2022	190	$11K

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	86%	354	257	$22K
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	5.8%	14	12	$1K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	5.1%	12	12	$1K
96110	Developmental screening, with scoring and documentation, per standardized instrument	2.9%	73	71	$743.80
96127		<1%	12	12	$56.52
99173		<1%	32	32	$54.65

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 officialLUM, TERESA (OWNER)