Western Loudoun Pediatrics

Western Loudoun Pediatrics was paid $32K by Medicaid between Jan 2018 and Nov 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 82% of everything it billed.

33Billing provider infoWESTERN LOUDOUN PEDIATRICS
PURCELLVILLE, VA 20132

33aNPI1740696046assigned 07/08/2014

33bProvider typePrimary Care Clinic/Center

28Total paid$32K

24GClaims946

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2022

Compared with peers

Next to other Primary Care Clinic/Center providers in Virginia

Rank by total paid#56 of 80

Median peer was paid$108K

This provider vs. median0.3×

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	191	$5K
2019	146	$4K
2020	206	$3K
2021	160	$7K
2022	243	$14K

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	82%	478	417	$27K
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	12%	51	44	$4K
90686		2.8%	83	82	$912.18
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.1%	26	12	$360.36
92551		1.1%	43	38	$356.67
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	103	91	$118.50
99173		<1%	14	14	$34.58
99000		<1%	17	14	$29.44
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	38	38	$23.80
99072		0%	93	52	$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 officialMORFITT, WENDI (PHYSICIAN/OWNER)