Physician
Potomac Valley Pediatrics
Potomac Valley Pediatrics was paid $285K by Medicaid between Jan 2020 and Oct 2024, across 26 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 46% of everything it billed.
33Billing provider infoPOTOMAC VALLEY PEDIATRICS
NORTH POTOMAC, MD 20878
NORTH POTOMAC, MD 20878
33aNPI1801186622assigned 04/13/2011
33bProvider typePediatrics Physician
28Total paid$285K
24GClaims5,886
24DCodes billed26
24AFirst – last monthJan 2020 – Oct 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#146 of 306
Median peer was paid$206K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2020 | 969 | $39K | |
| 2021 | 1,541 | $69K | |
| 2022 | 1,416 | $75K | |
| 2023 | 1,236 | $69K | |
| 2024incomplete | 724 | $34K |
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% | 1,593 | 1,330 | $130K |
| 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 | 39% | 959 | 790 | $112K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.6% | 64 | 62 | $7K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 2.1% | 165 | 126 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.1% | 55 | 53 | $6K |
| 90686 | 1.8% | 241 | 223 | $5K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 41 | 41 | $5K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 131 | 104 | $2K |
| 85018 | <1% | 1,117 | 1,053 | $2K | |
| 90688 | <1% | 101 | 99 | $2K | |
| 0071A | <1% | 34 | 34 | $1K | |
| 0072A | <1% | 31 | 31 | $1K |
14 more codes
| 96127 | <1% | 203 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 70 | $849.03 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 80 | $750.59 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 37 | $528.86 |
| 96160 | <1% | 134 | $357.56 | |
| 92552 | <1% | 15 | $330.20 | |
| 90734 | <1% | 14 | $279.36 | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 45 | $164.22 |
| 88738 | <1% | 33 | $134.86 | |
| 99177 | <1% | 13 | $72.59 | |
| 94760 | <1% | 58 | $72.10 | |
| 36416 | 0% | 588 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 28 | $0.00 |
| 99000 | 0% | 36 | $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 officialBAWA, AVNEET (PHYSICIAN/ OWNER)