Fairfax Neonatal Associates, LLC

Fairfax Neonatal Associates, LLC was paid $3.34M by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 99480, Subsequent intensive care, per day, low birth weight infant — 23% of everything it billed.

33Billing provider infoFAIRFAX NEONATAL ASSOCIATES, LLC
FAIRFAX, VA 22031

33aNPI1821055609assigned 04/27/2006

33bProvider typePediatric Pulmonology Physician

28Total paid$3.34M

24GClaims41,167

24DCodes billed10

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Pediatric Pulmonology Physician providers in Virginia

Rank by total paid#2 of 8

Median peer was paid$5K

This provider vs. median634×

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	7,683	$473K
2019	9,002	$734K
2020	5,806	$523K
2021	6,139	$493K
2022	6,121	$474K
2023	3,370	$320K
2024incomplete	3,046	$319K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99480	Subsequent intensive care, per day, low birth weight infant	23%	10,204	2,728	$763K
99479	Subsequent intensive care, per day, very low birth weight infant	22%	8,892	2,360	$722K
99469	Subsequent inpatient neonatal critical care, per day, 28 days or younger	19%	2,611	899	$640K
99460		13%	6,743	5,838	$443K
99238	Hospital discharge day management, 30 minutes or less	9.2%	6,049	5,038	$306K
99472	Subsequent inpatient pediatric critical care, per day, 2-5 years	6.6%	937	307	$222K
99464		2.8%	1,939	1,684	$93K
99462		2.4%	2,887	2,215	$81K
99239	Hospital discharge day management, more than 30 minutes	2.0%	884	754	$66K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	21	19	$1K

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 officialBENGSTON, GREGORY (EVP, COO)