Medicaid Provider Spending

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

RIGHT CARE PEDIATRICS INC

NPI: 1942719661 · WHEATON, MD 20902 · Pediatrics Physician · NPI assigned 09/26/2017

$5.27M
Total Medicaid Paid
118,640
Total Claims
105,282
Beneficiaries
59
Codes Billed
2020-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialVILLAGRA, JOSE (OWNER)
NPI Enumeration Date09/26/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24,478 $924K
2021 21,040 $959K
2022 22,773 $1.06M
2023 25,808 $1.13M
2024 24,541 $1.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 23,866 20,171 $2.02M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,565 5,075 $572K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,406 3,596 $503K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,759 4,398 $490K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,339 3,020 $322K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,538 2,333 $284K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,681 3,299 $175K
90686 5,602 5,168 $125K
96110 Developmental screening, with scoring and documentation, per standardized instrument 10,412 9,459 $87K
92551 9,238 8,496 $84K
90670 2,488 2,258 $54K
90723 2,334 2,141 $51K
90633 1,999 1,825 $43K
90648 1,775 1,625 $39K
90681 1,345 1,225 $29K
90710 1,279 1,181 $28K
90651 1,290 1,161 $27K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,525 1,237 $26K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 516 494 $25K
90647 1,161 1,056 $25K
0071A 602 545 $24K
99173 9,665 8,852 $24K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1,721 1,517 $20K
90696 872 793 $19K
90677 697 661 $19K
96127 3,652 3,378 $16K
90734 741 680 $15K
90700 612 575 $14K
36415 Collection of venous blood by venipuncture 2,487 2,278 $10K
86580 1,305 1,132 $9K
90715 409 372 $9K
99381 87 65 $8K
90656 354 351 $8K
90620 330 303 $7K
96161 2,353 2,155 $6K
90716 226 201 $5K
90707 211 180 $5K
99383 45 33 $4K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 37 37 $4K
0001A 102 102 $4K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 219 211 $4K
90661 134 134 $3K
83655 300 248 $3K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 22 22 $3K
D1206 Topical application of fluoride varnish 112 112 $3K
99215 Prolong outpt/office vis 14 13 $3K
0002A 50 50 $2K
87807 168 153 $2K
69210 27 14 $1K
90619 45 44 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 111 105 $1K
0072A 25 24 $964.00
90688 39 39 $907.92
81002 262 244 $560.44
94760 188 171 $306.80
94664 40 38 $284.20
85018 34 33 $71.28
91307 208 184 $0.55
90460 Immunization administration through 18 years of age via any route, first or only component 16 15 $0.00