The Pediatric Group, PC

The Pediatric Group, PC was paid $4K by Medicaid between Jan 2018 and Mar 2018, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.

33Billing provider infoTHE PEDIATRIC GROUP, PC
ALEXANDRIA, VA 22310

33aNPI1922162205assigned 12/20/2006

33bProvider typePediatric Adolescent Medicine Physician

28Total paid$4K

24GClaims104

24DCodes billed5

24AFirst – last monthJan 2018 – Mar 2018

Compared with peers

Next to other Pediatric Adolescent Medicine Physician providers in Virginia

Rank by total paid#25 of 30

Median peer was paid$29K

This provider vs. median0.1×

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
2018	104	$4K

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	34%	31	28	$1K
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	25%	17	13	$1K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	24%	14	13	$1K
90670		13%	27	24	$561.69
90698		3.1%	15	12	$132.55

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 officialGRADER, JAN (ADMINISTRATOR)