Clinic
Adult and Pediatric Medical Associates, PC
Adult and Pediatric Medical Associates, PC was paid $1.52M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 85% of everything it billed.
33Billing provider infoADULT AND PEDIATRIC MEDICAL ASSOCIATES, PC
CHESAPEAKE, VA 23321
CHESAPEAKE, VA 23321
33aNPI1871709899assigned 05/15/2007
33bProvider typePrimary Care Clinic/Center
28Total paid$1.52M
24GClaims32,182
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#12 of 80
Median peer was paid$108K
This provider vs. median14×
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 | 4,628 | $122K | |
| 2019 | 4,672 | $198K | |
| 2020 | 4,533 | $248K | |
| 2021 | 4,898 | $228K | |
| 2022 | 4,709 | $256K | |
| 2023 | 4,888 | $285K | |
| 2024incomplete | 3,854 | $185K |
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 | 85% | 20,195 | 17,951 | $1.29M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.2% | 3,139 | 2,727 | $139K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.1% | 307 | 292 | $32K |
| 99349 | 1.2% | 1,264 | 839 | $18K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 523 | 323 | $7K |
| 90686 | <1% | 520 | 480 | $7K | |
| 96127 | <1% | 1,392 | 1,331 | $6K | |
| 99335 | <1% | 611 | 325 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 55 | 53 | $5K |
| 0011A | <1% | 107 | 101 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 346 | 329 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 22 | 22 | $2K |
16 more codes
| 36415 | Collection of venous blood by venipuncture | <1% | 876 | $2K |
| 99457 | <1% | 137 | $859.49 | |
| 0012A | <1% | 28 | $785.00 | |
| 82962 | <1% | 647 | $781.42 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,028 | $725.81 |
| 85018 | <1% | 235 | $547.60 | |
| 99000 | <1% | 365 | $309.48 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 42 | $296.59 |
| Q2038 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) | <1% | 28 | $283.45 |
| 99454 | <1% | 32 | $283.24 | |
| 92551 | <1% | 27 | $267.89 | |
| 99458 | <1% | 14 | $257.50 | |
| 90660 | <1% | 17 | $176.00 | |
| 90461 | <1% | 143 | $106.48 | |
| 99051 | <1% | 62 | $77.50 | |
| 99173 | <1% | 20 | $49.36 |
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 officialBEVERLY, LUKIA (OFFICE ADMINISTRATOR)