Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

THE PEDIATRIC GROUP, PC

NPI: 1922162205 · ALEXANDRIA, VA 22310 · Pediatric Adolescent Medicine Physician · NPI assigned 12/20/2006

$4K
Total Medicaid Paid
104
Total Claims
90
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-03
Last Month

Provider Details

Authorized OfficialGRADER, JAN (ADMINISTRATOR)
NPI Enumeration Date12/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31 28 $1K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17 13 $1K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 14 13 $1K
90670 27 24 $561.69
90698 15 12 $132.55