OLD DOMINION PEDIATRICS, PLLC
NPI: 1710233788
· NORTH CHESTERFIELD, VA 23235
· 261QP2300X
$2.04M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,761 |
$87K |
| 2019 |
5,947 |
$200K |
| 2020 |
4,901 |
$183K |
| 2021 |
5,882 |
$228K |
| 2022 |
9,099 |
$399K |
| 2023 |
11,239 |
$492K |
| 2024 |
11,204 |
$448K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
|
10,711 |
9,024 |
$926K |
| 99213 |
|
7,551 |
6,691 |
$449K |
| T1013 |
Sign lang/oral interpreter |
5,446 |
4,146 |
$121K |
| 99215 |
Prolong outpt/office vis |
954 |
833 |
$112K |
| 99392 |
|
1,158 |
1,093 |
$87K |
| 99393 |
|
1,125 |
1,046 |
$82K |
| 99391 |
|
558 |
507 |
$41K |
| 99394 |
|
404 |
374 |
$32K |
| 90686 |
|
2,561 |
2,492 |
$32K |
| 92551 |
|
2,869 |
2,724 |
$27K |
| 90677 |
|
194 |
171 |
$25K |
| 87880 |
|
1,911 |
1,713 |
$24K |
| 94640 |
|
386 |
333 |
$10K |
| 99000 |
|
4,056 |
3,797 |
$8K |
| 90651 |
|
120 |
110 |
$8K |
| 99173 |
|
2,889 |
2,739 |
$7K |
| 90670 |
|
268 |
262 |
$6K |
| 90619 |
|
89 |
80 |
$6K |
| 90710 |
|
65 |
57 |
$6K |
| 36415 |
|
1,742 |
1,640 |
$4K |
| 90698 |
|
289 |
282 |
$4K |
| 90697 |
|
55 |
53 |
$4K |
| 85018 |
|
1,543 |
1,419 |
$3K |
| 99212 |
|
60 |
58 |
$2K |
| 90633 |
|
165 |
153 |
$2K |
| 96127 |
|
348 |
325 |
$2K |
| 87804 |
|
44 |
43 |
$1K |
| 90680 |
|
38 |
36 |
$964.35 |
| 90715 |
|
33 |
26 |
$749.38 |
| 90716 |
|
12 |
12 |
$665.00 |
| A7003 |
Nebulizer administration set |
397 |
345 |
$503.28 |
| 36416 |
|
2,226 |
2,067 |
$425.48 |
| 90696 |
|
12 |
12 |
$410.90 |
| 96110 |
|
42 |
40 |
$387.54 |
| 90460 |
|
28 |
28 |
$206.69 |
| 90744 |
|
17 |
13 |
$160.27 |
| 90734 |
|
15 |
13 |
$144.10 |
| 99050 |
|
12 |
12 |
$125.24 |
| J7644 |
Ipratropium bromide non-comp |
255 |
212 |
$47.18 |
| J7613 |
Albuterol non-comp unit |
385 |
332 |
$13.73 |