Physician
Downtown Silver Spring Pediatrics
Downtown Silver Spring Pediatrics was paid $3.65M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoDOWNTOWN SILVER SPRING PEDIATRICS
SILVER SPRING, MD 20910
SILVER SPRING, MD 20910
33aNPI1730454216assigned 03/15/2012
33bProvider typePediatrics Physician
28Total paid$3.65M
24GClaims83,559
24DCodes billed50
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#24 of 306
Median peer was paid$206K
This provider vs. median18×
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 | 203 | $13K | |
| 2021 | 7,613 | $279K | |
| 2022 | 25,684 | $1.11M | |
| 2023 | 26,238 | $1.18M | |
| 2024incomplete | 23,821 | $1.07M |
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 | 46% | 17,979 | 14,904 | $1.68M |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 10% | 3,052 | 3,001 | $371K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 9.7% | 5,992 | 5,478 | $353K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.5% | 2,798 | 2,748 | $310K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.4% | 1,798 | 1,746 | $197K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 3.8% | 3,471 | 3,138 | $140K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.5% | 1,223 | 1,130 | $126K |
| 92551 | 1.8% | 6,834 | 6,658 | $65K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.6% | 2,611 | 2,368 | $59K |
| 90686 | 1.0% | 1,612 | 1,589 | $37K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 288 | 275 | $34K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 3,316 | 3,225 | $29K |
38 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 9,482 | $25K |
| 90619 | <1% | 606 | $24K | |
| 99177 | <1% | 6,248 | $24K | |
| 90620 | <1% | 982 | $23K | |
| 90651 | <1% | 972 | $22K | |
| 96127 | <1% | 4,526 | $21K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,699 | $17K |
| 90670 | <1% | 573 | $13K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 71 | $9K |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 1,682 | $8K |
| 92587 | <1% | 480 | $7K | |
| 90734 | <1% | 288 | $7K | |
| 90671 | <1% | 258 | $6K | |
| 90633 | <1% | 269 | $6K | |
| 90698 | <1% | 257 | $6K | |
| 87807 | <1% | 527 | $6K | |
| 90697 | <1% | 104 | $5K | |
| 90715 | <1% | 186 | $4K | |
| 90680 | <1% | 152 | $3K | |
| 99173 | <1% | 1,403 | $3K | |
| 90688 | <1% | 134 | $3K | |
| 90710 | <1% | 91 | $2K | |
| 90744 | <1% | 69 | $2K | |
| 90672 | <1% | 50 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 90 | $1K |
| 90677 | <1% | 13 | $936.00 | |
| 90681 | <1% | 25 | $582.00 | |
| 81003 | <1% | 340 | $511.60 | |
| 90661 | <1% | 15 | $479.05 | |
| 90700 | <1% | 13 | $279.36 | |
| 96160 | <1% | 580 | $208.64 | |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 100 | $77.35 |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 100 | $60.85 |
| 94760 | <1% | 61 | $49.40 | |
| 36416 | <1% | 25 | $6.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 90 | $4.25 |
| 99000 | 0% | 12 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 12 | $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 officialBURBANO, JESUS (OWNER)