Physician
Pediatric Partners of Virginia
Pediatric Partners of Virginia was paid $22K by Medicaid between Oct 2023 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoPEDIATRIC PARTNERS OF VIRGINIA
POWHATAN, VA 23139
POWHATAN, VA 23139
33aNPI1841997822assigned 02/10/2023
33bProvider typePediatrics Physician
28Total paid$22K
24GClaims651
24DCodes billed9
24AFirst – last monthOct 2023 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#456 of 817
Median peer was paid$29K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 35 | $3K | |
| 2024incomplete | 616 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 173 | 149 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 99 | 88 | $6K |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 8.1% | 241 | 202 | $2K |
| 90656 | 1.3% | 21 | 17 | $283.33 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 12 | 12 | $170.46 |
| 92551 | <1% | 17 | 17 | $153.36 | |
| 99177 | <1% | 14 | 14 | $60.48 | |
| 99173 | <1% | 14 | 14 | $25.06 | |
| 3008F | 0% | 60 | 60 | $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 officialSEMEJA, SAMANTHA (CORPORATE OPERATIONS MGR)
Parent organizationPEDIATRIC PARTNERS OF VIRGINIA
| Provider | Location | Paid |
|---|---|---|
| Pediatric Partners of Virginia, LLC | Glen Allen, VA | $142K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.