Physician
Valley Pediatric Associates, LLC
Valley Pediatric Associates, LLC was paid $727K by Medicaid between Jan 2018 and May 2023, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoVALLEY PEDIATRIC ASSOCIATES, LLC
OWINGS MILLS, MD 21117
OWINGS MILLS, MD 21117
33aNPI1891966214assigned 03/13/2008
33bProvider typePediatrics Physician
28Total paid$727K
24GClaims19,599
24DCodes billed31
24AFirst – last monthJan 2018 – May 2023
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#106 of 306
Median peer was paid$206K
This provider vs. median3.5×
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 | 163 | $4K | |
| 2019 | 200 | $4K | |
| 2020 | 4,943 | $172K | |
| 2021 | 5,916 | $210K | |
| 2022 | 7,577 | $303K | |
| 2023 | 800 | $33K |
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 | 45% | 4,100 | 3,738 | $323K |
| 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 | 16% | 1,060 | 941 | $119K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 11% | 845 | 746 | $80K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.8% | 456 | 402 | $42K |
| 90686 | 4.9% | 1,903 | 1,596 | $36K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.3% | 2,569 | 2,365 | $24K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 252 | 228 | $23K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 435 | 405 | $20K |
| D1206 | Topical application of fluoride varnish | 2.3% | 694 | 668 | $17K |
| 96127 | <1% | 1,605 | 1,362 | $7K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 620 | 567 | $7K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 540 | 204 | $6K |
19 more codes
| 90648 | <1% | 177 | $4K | |
| 96161 | <1% | 1,483 | $3K | |
| 88738 | <1% | 1,087 | $3K | |
| 90670 | <1% | 162 | $3K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 583 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 14 | $1K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 127 | $997.97 |
| 90680 | <1% | 53 | $954.48 | |
| 0071A | <1% | 27 | $883.76 | |
| 90723 | <1% | 37 | $698.40 | |
| 0072A | <1% | 14 | $521.44 | |
| 99051 | <1% | 67 | $432.41 | |
| 92558 | <1% | 421 | $394.38 | |
| 99177 | <1% | 50 | $201.60 | |
| 83655 | <1% | 12 | $142.68 | |
| 94760 | <1% | 80 | $83.00 | |
| 85018 | <1% | 12 | $24.34 | |
| 99000 | 0% | 74 | $0.00 | |
| 90461 | 0% | 40 | $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 officialSTEIN, RONA (MD)