Johnston, Helen

Johnston, Helen was paid $42K by Medicaid between Jan 2018 and Nov 2018, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.

33Billing provider infoJOHNSTON, HELEN
ABINGDON, VA 24211

33aNPI1841368347assigned 12/01/2006

33bProvider typePediatrics Physician

28Total paid$42K

24GClaims1,602

24DCodes billed19

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#353 of 817

Median peer was paid$29K

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
2018	1,602	$42K

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	41%	306	290	$17K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	13%	78	73	$5K
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	13%	66	63	$5K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	10%	53	53	$4K
96110	Developmental screening, with scoring and documentation, per standardized instrument	3.8%	167	163	$2K
99188		3.2%	68	67	$1K
92551		2.6%	106	104	$1K
90686		2.5%	85	85	$1K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.5%	14	14	$1K
96127		2.3%	132	121	$962.87
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	1.4%	42	23	$611.10
96160		1.4%	175	171	$582.46

7 more codes

99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	24	$417.04
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	17	$247.35
85018		<1%	84	$223.00
99173		<1%	90	$220.15
83655		<1%	14	$161.37
90670		<1%	13	$137.50
36416		<1%	68	$18.70

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.