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

Children First Pediatrics of Virginia, P.C.

Children First Pediatrics of Virginia, P.C. was paid $3.99M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 30% of everything it billed.

33Billing provider infoCHILDREN FIRST PEDIATRICS OF VIRGINIA, P.C.
MARTINSVILLE, VA 24112
33aNPI1942651054assigned 06/29/2016
33bProvider typePediatrics Physician
28Total paid$3.99M
24GClaims184,732
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#43 of 817
Median peer was paid$29K
This provider vs. median136×

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$50K$100K$150K2018201920202021202220232024
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
20182,204$63K
20197,873$198K
202012,862$299K
202126,951$581K
202237,986$802K
202342,283$900K
2024incomplete54,573$1.15M
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 30% 15,143 12,347 $1.18M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 20% 14,918 12,415 $799K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 7.9% 4,407 4,033 $316K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 6.6% 4,237 3,495 $262K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 5.3% 2,000 1,609 $213K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3.6% 2,062 1,872 $144K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 3.4% 10,749 4,746 $134K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2.9% 9,301 7,984 $117K
90677 2.5% 881 648 $99K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1.9% 2,877 2,449 $76K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 5,881 4,512 $47K
90723 1.1% 2,456 2,114 $43K
59 more codes
90670 <1% 2,378 $38K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 467 $34K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 1,147 $31K
99204 Doctor's office visit, new patient (more involved) <1% 306 $30K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 15,703 $29K
90680 <1% 1,529 $28K
96160 <1% 13,442 $27K
99381 <1% 476 $26K
99188 <1% 1,301 $25K
90648 <1% 2,387 $23K
87807 <1% 1,831 $21K
90633 <1% 1,647 $20K
85018 <1% 7,636 $16K
90710 <1% 384 $16K
94760 <1% 14,054 $15K
83655 <1% 1,254 $13K
96127 <1% 2,928 $13K
90651 <1% 196 $13K
92551 <1% 1,367 $12K
90461 <1% 5,629 $10K
90686 <1% 820 $10K
99177 <1% 2,483 $10K
81002 <1% 3,665 $9K
90716 <1% 369 $9K
90681 <1% 499 $8K
90734 <1% 193 $8K
99173 <1% 3,342 $7K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 673 $7K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 562 $6K
90707 <1% 352 $6K
90696 <1% 332 $5K
96161 <1% 2,722 $5K
87634 <1% 96 $4K
90700 <1% 342 $4K
90647 <1% 392 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 285 $2K
69210 <1% 52 $2K
94664 <1% 205 $2K
80061 Lipid panel <1% 186 $2K
90685 <1% 163 $2K
81003 <1% 618 $1K
36416 <1% 8,224 $1K
99000 <1% 1,476 $878.28
99203 Doctor's office visit, new patient (routine) <1% 14 $803.95
99401 <1% 39 $759.30
90661 <1% 114 $702.95
90715 <1% 43 $669.10
0071A <1% 16 $666.00
0072A <1% 14 $584.00
A7015 Aerosol mask, used with dme nebulizer <1% 383 $311.23
99072 <1% 3,286 $196.32
69209 <1% 34 $170.48
99050 <1% 14 $114.34
99051 <1% 593 $50.09
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 413 $44.95
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 30 $32.49
A9150 Non-prescription drugs <1% 621 $25.70
94761 <1% 13 $14.48
91307 0% 80 $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 officialNOONAN, MARY (PEDIATRICIAN/OWNER)