Physician
Primecare Pedsxpress
Primecare Pedsxpress was paid $17K by Medicaid between Jan 2018 and Apr 2018, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 74% of everything it billed.
33Billing provider infoPRIMECARE PEDSXPRESS
FREDERICKSBURG, VA 22407
FREDERICKSBURG, VA 22407
33aNPI1891102158assigned 07/18/2014
33bProvider typePediatrics Physician
28Total paid$17K
24GClaims319
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#505 of 817
Median peer was paid$29K
This provider vs. median0.6×
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 | 319 | $17K |
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 | 74% | 162 | 146 | $13K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 15% | 35 | 34 | $3K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 8.6% | 106 | 102 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.1% | 16 | 13 | $353.10 |
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 officialTATE, DANA (OPERATIONS DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| PL Physicians, INC. | Fredericksburg, VA | $897K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.