Medicaid Provider Spending

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

PEDIATRIC WELLNESS CENTER PA

NPI: 1922881127 · UPPER MARLBORO, MD 20772 · Pediatrics Physician · NPI assigned 08/14/2023

$6K
Total Medicaid Paid
84
Total Claims
78
Beneficiaries
4
Codes Billed
2024-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSTEVENS-MORRISON, CYNTHIA (PRESIDENT)
NPI Enumeration Date08/14/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 84 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 24 21 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 18 18 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 14 14 $1K
99173 28 25 $67.60