Physician
Children First, INC
Children First, INC was paid $2.63M by Medicaid between Jan 2018 and Dec 2024, across 87 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoCHILDREN FIRST, INC
DUMFRIES, VA 22026
DUMFRIES, VA 22026
33aNPI1730450164assigned 01/17/2012
33bProvider typePediatrics Physician
28Total paid$2.63M
24GClaims95,997
24DCodes billed87
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#69 of 817
Median peer was paid$29K
This provider vs. median90×
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 | 12,539 | $350K | |
| 2019 | 13,282 | $359K | |
| 2020 | 12,977 | $369K | |
| 2021 | 14,333 | $380K | |
| 2022 | 14,584 | $426K | |
| 2023 | 15,574 | $427K | |
| 2024incomplete | 12,708 | $317K |
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 | 21% | 6,614 | 6,083 | $560K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 8,382 | 7,562 | $488K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 9.0% | 3,192 | 3,099 | $236K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.8% | 3,064 | 2,980 | $231K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 2,403 | 2,320 | $194K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 6.7% | 2,564 | 2,180 | $175K |
| 92551 | 2.6% | 7,440 | 7,154 | $70K | |
| 90651 | 2.0% | 1,379 | 1,332 | $54K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.6% | 1,202 | 1,107 | $43K |
| 90670 | 1.6% | 1,738 | 1,627 | $42K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 5,147 | 4,879 | $42K |
| 97802 | 1.5% | 2,823 | 2,687 | $38K |
75 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.3% | 2,585 | $35K |
| 90686 | 1.2% | 2,754 | $33K | |
| 97803 | 1.2% | 3,783 | $31K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,139 | $30K |
| 90700 | <1% | 1,777 | $20K | |
| 96127 | <1% | 4,057 | $19K | |
| 99188 | <1% | 936 | $19K | |
| 90680 | <1% | 1,103 | $18K | |
| 90633 | <1% | 1,344 | $17K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,164 | $17K |
| 90716 | <1% | 812 | $16K | |
| 99173 | <1% | 6,915 | $16K | |
| 90734 | <1% | 620 | $15K | |
| 90707 | <1% | 961 | $15K | |
| 90621 | <1% | 405 | $14K | |
| 90713 | <1% | 1,105 | $12K | |
| 90648 | <1% | 957 | $10K | |
| 90744 | <1% | 762 | $9K | |
| 90619 | <1% | 265 | $8K | |
| 99177 | <1% | 2,111 | $8K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 460 | $7K |
| 90698 | <1% | 362 | $6K | |
| 0001A | <1% | 158 | $6K | |
| 90672 | <1% | 449 | $6K | |
| 0071A | <1% | 149 | $6K | |
| 0072A | <1% | 132 | $5K | |
| 0002A | <1% | 129 | $5K | |
| 99381 | <1% | 83 | $5K | |
| 99383 | <1% | 53 | $4K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,232 | $4K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 311 | $4K |
| 99000 | <1% | 1,573 | $4K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 13 | $4K |
| 90677 | <1% | 214 | $3K | |
| 86580 | <1% | 402 | $3K | |
| 90715 | <1% | 224 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 27 | $2K |
| 99401 | <1% | 341 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 90685 | <1% | 173 | $2K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 14 | $2K |
| 96161 | <1% | 948 | $2K | |
| 94760 | <1% | 1,998 | $1K | |
| 99058 | <1% | 53 | $1K | |
| Q3014 | Telehealth originating site facility fee | <1% | 41 | $989.12 |
| 90620 | <1% | 52 | $729.29 | |
| 0011A | <1% | 15 | $550.00 | |
| 0012A | <1% | 13 | $520.00 | |
| 0081A | <1% | 13 | $520.00 | |
| 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% | 76 | $425.86 |
| 97804 | <1% | 269 | $364.17 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 292 | $305.25 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 315 | $269.70 |
| 95117 | <1% | 31 | $268.77 | |
| 87807 | <1% | 20 | $262.66 | |
| 99050 | <1% | 17 | $195.68 | |
| 94664 | <1% | 17 | $143.40 | |
| 81002 | <1% | 47 | $136.16 | |
| 90687 | <1% | 12 | $122.10 | |
| 85018 | <1% | 25 | $66.12 | |
| 99402 | <1% | 12 | $25.00 | |
| S8110 | Peak expiratory flow rate (physician services) | <1% | 48 | $14.85 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 73 | $14.05 |
| 36416 | <1% | 14 | $11.22 | |
| 91300 | <1% | 299 | $2.50 | |
| 91307 | <1% | 272 | $1.95 | |
| 91301 | <1% | 33 | $0.27 | |
| 91308 | <1% | 29 | $0.25 | |
| G8482 | Influenza immunization administered or previously received | <1% | 1,104 | $0.01 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | 0% | 436 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 52 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 15 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 312 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 982 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 33 | $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 officialMORALES, ROSA (PRACTICE MANAGER)