Behavioral
LA Plata Pediatrics & Family Health, LLC
LA Plata Pediatrics & Family Health, LLC was paid $3.13M by Medicaid between Mar 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 57% of everything it billed.
33Billing provider infoLA PLATA PEDIATRICS & FAMILY HEALTH, LLC
LA PLATA, MD 20646
LA PLATA, MD 20646
33aNPI1891001996assigned 08/26/2010
33bProvider typeMental Health Counselor
28Total paid$3.13M
24GClaims36,267
24DCodes billed33
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Mental Health Counselor providers in Maryland
Rank by total paid#36 of 400
Median peer was paid$112K
This provider vs. median28×
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 | 29 | $697.17 | |
| 2020 | 6,080 | $359K | |
| 2021 | 6,817 | $540K | |
| 2022 | 9,088 | $868K | |
| 2023 | 8,032 | $818K | |
| 2024incomplete | 6,221 | $541K |
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 | 57% | 15,795 | 12,620 | $1.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 7,831 | 6,721 | $620K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 19% | 3,772 | 3,118 | $579K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.1% | 728 | 631 | $66K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.1% | 318 | 296 | $33K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 766 | 499 | $11K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 94 | 92 | $10K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 759 | 688 | $6K |
| 90686 | <1% | 174 | 146 | $3K | |
| 90670 | <1% | 145 | 139 | $3K | |
| 94667 | <1% | 152 | 124 | $3K | |
| 96160 | <1% | 1,730 | 1,552 | $3K |
21 more codes
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | <1% | 86 | $2K |
| 90677 | <1% | 20 | $2K | |
| 92060 | <1% | 50 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 292 | $2K |
| 99385 | <1% | 13 | $2K | |
| 94664 | <1% | 150 | $2K | |
| 90698 | <1% | 73 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 617 | $1K |
| 99401 | <1% | 98 | $942.37 | |
| 90648 | <1% | 14 | $325.92 | |
| 96127 | <1% | 173 | $313.21 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 130 | $280.01 |
| 94760 | <1% | 535 | $267.55 | |
| 95012 | <1% | 32 | $263.87 | |
| 96161 | <1% | 1,502 | $216.08 | |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 61 | $90.40 |
| 87807 | <1% | 13 | $79.81 | |
| A4617 | Mouth piece | <1% | 37 | $37.01 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 82 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 12 | $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 officialREIDY, JAMIE (OWNER AND NURSE PRACTITIONER)
| Provider | Location | Paid |
|---|---|---|
| LA Plata Pediatrics & Family Health, LLC | La Plata, MD | $26K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.