Physician
Martinsburg Pediatrics
Martinsburg Pediatrics was paid $409K by Medicaid between Jan 2018 and Jul 2023, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 33% of everything it billed.
33Billing provider infoMARTINSBURG PEDIATRICS
MARTINSBURG, WV 25401
MARTINSBURG, WV 25401
33aNPI1831425198assigned 10/21/2009
33bProvider typePediatrics Physician
28Total paid$409K
24GClaims13,810
24DCodes billed27
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Pediatrics Physician providers in West Virginia
Rank by total paid#29 of 57
Median peer was paid$409K
This provider vs. median1.0×
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 | 2,685 | $87K | |
| 2019 | 2,504 | $64K | |
| 2020 | 3,408 | $79K | |
| 2021 | 1,903 | $55K | |
| 2022 | 2,364 | $85K | |
| 2023 | 946 | $39K |
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 | 33% | 2,972 | 2,487 | $137K |
| 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 | 27% | 1,701 | 1,497 | $111K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 5.2% | 329 | 302 | $21K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.7% | 327 | 305 | $19K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 1,596 | 1,415 | $19K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.4% | 390 | 278 | $18K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 3.6% | 933 | 798 | $15K |
| 92551 | 3.4% | 1,135 | 1,053 | $14K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.5% | 183 | 160 | $10K |
| 81003 | 2.2% | 797 | 698 | $9K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.0% | 989 | 828 | $8K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.0% | 400 | 334 | $8K |
15 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.4% | 169 | $6K |
| 99177 | 1.1% | 402 | $5K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 57 | $2K |
| 96160 | <1% | 57 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 102 | $1K |
| 99173 | <1% | 144 | $1K | |
| 90686 | <1% | 382 | $1K | |
| 96127 | <1% | 400 | $682.52 | |
| 90698 | <1% | 48 | $450.46 | |
| 90461 | <1% | 31 | $435.00 | |
| 90734 | <1% | 42 | $371.56 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 85 | $194.14 |
| 90688 | <1% | 30 | $190.35 | |
| 90715 | <1% | 12 | $16.18 | |
| 90670 | 0% | 97 | $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 officialJOE, CAROLINE (OWNER/DOCTOR)