Pediatrics of Kempsville, P.C.

Pediatrics of Kempsville, P.C. was paid $234K by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 73% of everything it billed.

33Billing provider infoPEDIATRICS OF KEMPSVILLE, P.C.
VIRGINIA BEACH, VA 23464

33aNPI1710072145assigned 10/03/2006

33bProvider typePediatrics Physician

28Total paid$234K

24GClaims9,494

24DCodes billed21

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#174 of 817

Median peer was paid$29K

This provider vs. median8.0×

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	1,240	$28K
2019	1,965	$45K
2020	1,720	$43K
2021	1,672	$34K
2022	1,183	$26K
2023	1,126	$33K
2024incomplete	588	$25K

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	73%	3,035	2,737	$171K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	7.1%	235	215	$17K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	4.9%	153	148	$11K
90686		2.3%	472	460	$5K
92551		2.1%	553	540	$5K
90460	Immunization administration through 18 years of age via any route, first or only component	1.8%	2,125	2,040	$4K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	1.6%	51	49	$4K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	1.4%	40	39	$3K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	1.2%	222	210	$3K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.0%	188	91	$2K
90670		<1%	82	81	$2K
85013		<1%	784	755	$2K

9 more codes

96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	134	$1K
90461		<1%	399	$1K
90698		<1%	26	$656.84
36416		<1%	838	$360.33
90685		<1%	28	$307.22
83655		<1%	17	$197.44
81003		<1%	69	$166.01
99174		<1%	26	$131.57
99173		<1%	17	$42.59

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 officialYOUNG, WINFIELD (DIRECTOR)