Clinic
Norfolk Pediatrics, P.L.C.
Norfolk Pediatrics, P.L.C. was paid $81K by Medicaid between Jan 2018 and Jan 2019, across 24 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoNORFOLK PEDIATRICS, P.L.C.
NORFOLK, VA 23513
NORFOLK, VA 23513
33aNPI1760413298assigned 07/05/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$81K
24GClaims3,404
24DCodes billed24
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#46 of 80
Median peer was paid$108K
This provider vs. median0.8×
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 | 3,307 | $78K | |
| 2019 | 97 | $3K |
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 | 53% | 826 | 769 | $43K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 10% | 107 | 105 | $8K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 101 | 99 | $8K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.4% | 72 | 70 | $6K |
| 90716 | 1.8% | 61 | 59 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.7% | 40 | 36 | $1K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 186 | 184 | $1K |
| 90686 | 1.6% | 107 | 106 | $1K | |
| 85018 | 1.5% | 441 | 438 | $1K | |
| 90670 | 1.4% | 35 | 35 | $1K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 1.4% | 69 | 68 | $1K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 16 | 16 | $1K |
12 more codes
| 90707 | 1.3% | 59 | $1K | |
| 99173 | 1.2% | 377 | $941.58 | |
| 81003 | <1% | 286 | $703.95 | |
| 90698 | <1% | 16 | $510.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 34 | $478.10 |
| 90715 | <1% | 27 | $452.68 | |
| 90696 | <1% | 17 | $306.99 | |
| 92551 | <1% | 21 | $220.33 | |
| 36416 | <1% | 410 | $214.79 | |
| 90633 | <1% | 13 | $177.26 | |
| 90649 | <1% | 12 | $121.00 | |
| 94760 | <1% | 71 | $52.07 |
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 officialAMIN, SANJAY (DOCTORS)