Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Pediatric Partners of Virginia, LLC

Pediatric Partners of Virginia, LLC was paid $1.09M by Medicaid between Jan 2018 and Dec 2024, across 56 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 39% of everything it billed.

33Billing provider infoPEDIATRIC PARTNERS OF VIRGINIA, LLC
GLEN ALLEN, VA 23059
33aNPI1942630397assigned 11/22/2013
33bProvider typePediatrics Physician
28Total paid$1.09M
24GClaims29,625
24DCodes billed56
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#113 of 817
Median peer was paid$29K
This provider vs. median37×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,044$114K
20196,088$200K
20204,449$144K
20213,820$158K
20222,950$139K
20233,207$137K
2024incomplete6,067$195K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 39% 5,154 4,675 $419K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 24% 4,662 4,201 $256K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.8% 976 932 $74K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4.8% 761 679 $52K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 4.1% 435 388 $45K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.1% 457 432 $33K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2.9% 384 377 $32K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1.9% 1,651 773 $20K
99401 1.4% 730 708 $15K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.4% 515 493 $15K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 261 251 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 137 131 $10K
44 more codes
90670 <1% 431 $10K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 1,232 $9K
92552 <1% 330 $8K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 644 $8K
90688 <1% 678 $8K
90686 <1% 638 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 809 $6K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 191 $6K
96127 <1% 1,280 $6K
90700 <1% 449 $5K
99177 <1% 1,017 $4K
90648 <1% 341 $3K
90651 <1% 102 $3K
90713 <1% 218 $3K
99000 <1% 1,140 $2K
0002A <1% 59 $2K
90656 <1% 146 $2K
90680 <1% 118 $2K
99173 <1% 658 $2K
0001A <1% 37 $2K
3008F <1% 1,098 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 27 $874.90
90716 <1% 27 $864.13
90685 <1% 74 $853.35
92551 <1% 82 $744.73
81002 <1% 273 $741.64
90633 <1% 56 $668.65
85018 <1% 256 $598.40
90744 <1% 41 $546.41
90707 <1% 24 $494.79
90460 Immunization administration through 18 years of age via any route, first or only component <1% 123 $381.56
96160 <1% 161 $346.63
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 15 $191.58
96161 <1% 104 $170.32
90734 <1% 17 $168.00
90698 <1% 13 $147.75
36416 <1% 298 $115.25
90671 <1% 18 $107.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 46 $72.09
90461 <1% 28 $20.40
99070 <1% 23 $5.00
91300 <1% 110 $1.08
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 14 $0.44
3210F 0% 56 $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 officialSUTHERLAND, DAVID (ADMINISTRATOR)
Parent organizationPEDIATRIC PARTNERS OF VIRGINIA, LLC
Same official

Other billing entities under SUTHERLAND, DAVID

Full network →
ProviderLocationPaid
Ahcc II, LLCMidlothian, VA$31K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.