Clinic
CNMC Clinic at Ballou HS
CNMC Clinic at Ballou HS was paid $15K by Medicaid between Jan 2018 and May 2023, across 2 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 100% of everything it billed.
33Billing provider infoCNMC CLINIC AT BALLOU HS
WASHINGTON, DC 20032
WASHINGTON, DC 20032
33aNPI1861938177assigned 01/10/2017
33bProvider typeDental Clinic/Center
28Total paid$15K
24GClaims247
24DCodes billed2
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Dental Clinic/Center providers in District of Columbia
Rank by total paid#23 of 27
Median peer was paid$176K
This provider vs. median0.1×
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 | 145 | $10K | |
| 2019 | 32 | $2K | |
| 2022 | 13 | $736.49 | |
| 2023 | 57 | $3K |
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 | 100% | 231 | 212 | $15K |
| 99173 | <1% | 16 | 15 | $32.43 |
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 officialPFENNIG, SUSAN (SENIOR MANAGER)
Parent organizationCHILDREN'S HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Childrens National Specialist of Virginia LLC | Fairfax, VA | $43K |
| CNMC Clinic at Dunbar HS | Washington, DC | $40K |
| Children's Hospital | Washington, DC | $14K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.