Physician
Kiwanuka, James
Kiwanuka, James was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 29 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 48% of everything it billed.
33Billing provider infoKIWANUKA, JAMES
GAITHERSBURG, MD 20879
GAITHERSBURG, MD 20879
33aNPI1811951049assigned 04/14/2006
33bProvider typePediatrics Physician
28Total paid$1.52M
24GClaims27,316
24DCodes billed29
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#72 of 306
Median peer was paid$206K
This provider vs. median7.4×
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 | |
|---|---|---|---|
| 2018 | 298 | $7K | |
| 2019 | 294 | $7K | |
| 2020 | 5,928 | $294K | |
| 2021 | 5,082 | $255K | |
| 2022 | 5,724 | $329K | |
| 2023 | 5,429 | $340K | |
| 2024incomplete | 4,561 | $282K |
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 | 48% | 8,349 | 6,917 | $723K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 13% | 1,808 | 1,741 | $190K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 12% | 1,611 | 1,537 | $186K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.5% | 1,069 | 1,042 | $114K |
| 92552 | 5.6% | 3,508 | 3,371 | $85K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.7% | 581 | 525 | $57K |
| 90686 | 2.3% | 1,553 | 1,474 | $34K | |
| D1206 | Topical application of fluoride varnish | 2.0% | 1,200 | 1,198 | $30K |
| 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 | <1% | 111 | 97 | $15K |
| 90648 | <1% | 447 | 440 | $10K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,136 | 1,098 | $10K |
| 90734 | <1% | 442 | 406 | $10K |
17 more codes
| 90651 | <1% | 414 | $9K | |
| 99173 | <1% | 3,519 | $9K | |
| 90670 | <1% | 382 | $9K | |
| 90685 | <1% | 182 | $4K | |
| 97803 | <1% | 212 | $3K | |
| 90649 | <1% | 109 | $2K | |
| 90621 | <1% | 93 | $2K | |
| 90716 | <1% | 87 | $2K | |
| 90700 | <1% | 82 | $2K | |
| 90723 | <1% | 83 | $2K | |
| 90707 | <1% | 80 | $2K | |
| 90633 | <1% | 80 | $2K | |
| 90715 | <1% | 58 | $1K | |
| 90672 | <1% | 51 | $1K | |
| 90680 | <1% | 39 | $884.64 | |
| 90677 | <1% | 15 | $350.92 | |
| 99051 | <1% | 15 | $150.00 |
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.