Physician
Capitol Pediatrics
Capitol Pediatrics was paid $3.71M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoCAPITOL PEDIATRICS
MIDLOTHIAN, VA 23113
MIDLOTHIAN, VA 23113
33aNPI1700958410assigned 11/15/2006
33bProvider typePediatrics Physician
28Total paid$3.71M
24GClaims108,545
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#45 of 817
Median peer was paid$29K
This provider vs. median127×
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 | 16,578 | $558K | |
| 2019 | 16,058 | $523K | |
| 2020 | 15,077 | $507K | |
| 2021 | 16,870 | $528K | |
| 2022 | 16,763 | $587K | |
| 2023 | 14,747 | $553K | |
| 2024incomplete | 12,452 | $451K |
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 | 32% | 14,191 | 12,881 | $1.20M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 16,121 | 15,061 | $973K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.8% | 3,397 | 3,273 | $288K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.7% | 3,734 | 3,529 | $287K |
| 97802 | 5.1% | 10,155 | 9,635 | $190K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 4.9% | 8,564 | 7,579 | $182K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 4.5% | 2,183 | 2,100 | $166K |
| 90686 | 1.4% | 4,694 | 4,492 | $52K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.3% | 2,788 | 2,710 | $48K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 3,351 | 1,551 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.1% | 583 | 570 | $41K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,741 | 2,486 | $34K |
39 more codes
| 90651 | <1% | 898 | $28K | |
| 99173 | <1% | 8,850 | $21K | |
| 99000 | <1% | 8,074 | $19K | |
| 96127 | <1% | 3,719 | $18K | |
| 0002A | <1% | 355 | $14K | |
| 0001A | <1% | 376 | $14K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,761 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 271 | $9K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 982 | $9K |
| 90672 | <1% | 703 | $9K | |
| 90670 | <1% | 291 | $8K | |
| 90619 | <1% | 273 | $7K | |
| 90656 | <1% | 369 | $7K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 209 | $7K |
| 90734 | <1% | 277 | $6K | |
| 90698 | <1% | 287 | $5K | |
| 90658 | <1% | 236 | $2K | |
| 36416 | <1% | 5,609 | $2K | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 295 | $2K |
| 0004A | <1% | 41 | $2K | |
| 90715 | <1% | 126 | $2K | |
| 99177 | <1% | 376 | $1K | |
| 90621 | <1% | 52 | $1K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 12 | $1K |
| 90685 | <1% | 72 | $770.96 | |
| 90680 | <1% | 35 | $730.65 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 320 | $730.60 |
| 0124A | <1% | 18 | $720.00 | |
| 90707 | <1% | 30 | $432.34 | |
| 90716 | <1% | 14 | $403.44 | |
| 94760 | <1% | 147 | $211.95 | |
| 90633 | <1% | 12 | $154.29 | |
| 90744 | <1% | 12 | $144.72 | |
| 96161 | <1% | 71 | $117.03 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 15 | $107.06 |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 25 | $47.30 |
| 81002 | <1% | 12 | $31.21 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 15 | $2.31 |
| 99072 | 0% | 803 | $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 officialWOOD, MONETTE (PHYSICIAN PRESIDENT)