Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

New Horizon Pediatrics, P.C.

New Horizon Pediatrics, P.C. was paid $391K by Medicaid between Jul 2022 and Dec 2024, across 27 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.

33Billing provider infoNEW HORIZON PEDIATRICS, P.C.
RESTON, VA 20190
33aNPI1740688845assigned 12/05/2014
33bProvider typePediatrics Physician
28Total paid$391K
24GClaims13,016
24DCodes billed27
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#157 of 817
Median peer was paid$29K
This provider vs. median13×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20222,362$71K
20235,943$165K
2024incomplete4,711$155K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 1,489 1,244 $124K
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% 1,822 1,402 $100K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.9% 481 401 $31K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) 7.3% 854 753 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.0% 323 301 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4.5% 249 208 $18K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3.7% 1,823 1,556 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3.7% 1,169 937 $14K
92551 2.6% 1,165 1,003 $10K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.7% 504 475 $7K
90686 <1% 290 266 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 70 67 $3K
15 more codes
99173 <1% 1,158 $2K
90713 <1% 157 $2K
90700 <1% 150 $2K
90734 <1% 44 $1K
85018 <1% 653 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 15 $1K
90677 <1% 15 $1K
81002 <1% 389 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 73 $940.65
90649 <1% 45 $568.00
87807 <1% 27 $341.26
90651 <1% 13 $263.00
90707 <1% 13 $170.00
90716 <1% 12 $150.00
90648 <1% 13 $148.28

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 officialARBABI, NILOOFAR (PRESIDENT)