Physician
Tidewater Ped. Consultants, PC
Tidewater Ped. Consultants, PC was paid $2.76M by Medicaid between Jan 2018 and Dec 2023, across 47 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 35% of everything it billed.
33Billing provider infoTIDEWATER PED. CONSULTANTS, PC
VIRGINIA BEACH, VA 23464
VIRGINIA BEACH, VA 23464
33aNPI1841298759assigned 07/13/2005
33bProvider typePediatrics Physician
28Total paid$2.76M
24GClaims58,300
24DCodes billed47
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#65 of 817
Median peer was paid$29K
This provider vs. median94×
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 | 7,033 | $337K | |
| 2019 | 11,434 | $556K | |
| 2020 | 10,364 | $543K | |
| 2021 | 10,345 | $469K | |
| 2022 | 10,547 | $453K | |
| 2023 | 8,577 | $401K |
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 | 35% | 16,906 | 15,470 | $966K |
| 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 | 18% | 6,104 | 5,736 | $507K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 3,633 | 3,522 | $290K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.7% | 3,078 | 2,986 | $241K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 8.3% | 3,179 | 2,752 | $230K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 6.9% | 2,351 | 2,194 | $191K |
| 90670 | 2.0% | 2,682 | 2,486 | $55K | |
| 90651 | 1.6% | 1,389 | 1,338 | $44K | |
| 90671 | 1.3% | 314 | 300 | $36K | |
| 90698 | <1% | 1,681 | 1,579 | $25K | |
| 90633 | <1% | 1,550 | 1,486 | $18K | |
| 90734 | <1% | 713 | 695 | $16K |
35 more codes
| 90710 | <1% | 736 | $15K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 450 | $15K |
| 99173 | <1% | 5,869 | $14K | |
| 90744 | <1% | 770 | $9K | |
| 90688 | <1% | 716 | $8K | |
| 90681 | <1% | 439 | $7K | |
| 90619 | <1% | 363 | $7K | |
| 96127 | <1% | 1,314 | $6K | |
| 90696 | <1% | 444 | $6K | |
| 90715 | <1% | 427 | $6K | |
| 90716 | <1% | 367 | $5K | |
| 90707 | <1% | 374 | $5K | |
| 99381 | <1% | 57 | $5K | |
| 83655 | <1% | 311 | $4K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 234 | $3K |
| 0001A | <1% | 72 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 166 | $3K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $2K |
| 90648 | <1% | 207 | $2K | |
| 90700 | <1% | 136 | $2K | |
| 0002A | <1% | 43 | $2K | |
| 90658 | <1% | 127 | $2K | |
| 0072A | <1% | 39 | $2K | |
| 99383 | <1% | 15 | $1K | |
| 90686 | <1% | 124 | $1K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 92 | $1K |
| 0071A | <1% | 30 | $1K | |
| 90647 | <1% | 78 | $902.10 | |
| 85018 | <1% | 331 | $822.24 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 26 | $368.61 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 60 | $250.00 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 52 | $149.05 |
| 90687 | <1% | 12 | $138.60 | |
| 36416 | <1% | 143 | $91.79 | |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | <1% | 72 | $8.96 |
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 officialCHERRY, ROSETTA (PRACTICE MANAGER)