Clinic
Hagerstown Pediatrics
Hagerstown Pediatrics was paid $614K by Medicaid between Jan 2020 and Jun 2023, across 25 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoHAGERSTOWN PEDIATRICS
HAGERSTOWN, MD 21740
HAGERSTOWN, MD 21740
33aNPI1912965997assigned 05/01/2006
33bProvider typePrimary Care Clinic/Center
28Total paid$614K
24GClaims18,930
24DCodes billed25
24AFirst – last monthJan 2020 – Jun 2023
Compared with peers
Next to other Primary Care Clinic/Center providers in Maryland
Rank by total paid#27 of 112
Median peer was paid$200K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 5,468 | $159K | |
| 2021 | 6,084 | $192K | |
| 2022 | 4,914 | $172K | |
| 2023 | 2,464 | $92K |
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 | 30% | 2,366 | 1,984 | $183K |
| 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 | 29% | 1,603 | 1,317 | $176K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 729 | 657 | $72K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.9% | 522 | 467 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 414 | 352 | $38K |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | 2.8% | 2,523 | 2,271 | $17K |
| 99070 | 2.6% | 2,014 | 1,770 | $16K | |
| 92551 | 2.1% | 1,424 | 1,275 | $13K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.5% | 132 | 86 | $9K |
| 96127 | 1.3% | 1,868 | 1,641 | $8K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,340 | 1,178 | $6K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 443 | 376 | $5K |
13 more codes
| 90658 | <1% | 211 | $4K | |
| 81002 | <1% | 1,195 | $3K | |
| 99173 | <1% | 1,172 | $3K | |
| 90461 | <1% | 400 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 165 | $2K |
| 90670 | <1% | 94 | $2K | |
| 90698 | <1% | 70 | $1K | |
| 99058 | <1% | 31 | $280.00 | |
| 90734 | <1% | 14 | $279.36 | |
| 96161 | <1% | 53 | $51.77 | |
| 99072 | <1% | 100 | $27.00 | |
| A4206 | Syringe with needle, sterile, 1 cc or less, each | <1% | 34 | $0.46 |
| 99071 | 0% | 13 | $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 officialKHAN, SHAFAAT (MEDICAL DIRECTOR)