Physician
The Pediatric Center of Frederick, LLC
The Pediatric Center of Frederick, LLC was paid $293K by Medicaid between Jun 2018 and Jul 2020, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 49% of everything it billed.
33Billing provider infoTHE PEDIATRIC CENTER OF FREDERICK, LLC
FREDERICK, MD 21702
FREDERICK, MD 21702
33aNPI1952427072assigned 03/21/2007
33bProvider typePediatrics Physician
28Total paid$293K
24GClaims5,728
24DCodes billed23
24AFirst – last monthJun 2018 – Jul 2020
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#143 of 306
Median peer was paid$206K
This provider vs. median1.4×
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 | 31 | $2K | |
| 2019 | 86 | $4K | |
| 2020 | 5,611 | $288K |
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 | 49% | 2,098 | 1,950 | $144K |
| 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 | 28% | 831 | 749 | $83K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.5% | 186 | 180 | $19K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 3.6% | 1,193 | 656 | $11K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.8% | 84 | 80 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.1% | 148 | 126 | $6K |
| 90461 | 1.5% | 175 | 153 | $4K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.2% | 36 | 36 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.1% | 29 | 28 | $3K |
| 90686 | 1.1% | 148 | 136 | $3K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 154 | 141 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 138 | 67 | $1K |
11 more codes
| 90698 | <1% | 54 | $1K | |
| 99050 | <1% | 77 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 104 | $977.76 |
| 90670 | <1% | 39 | $861.36 | |
| 90633 | <1% | 15 | $325.92 | |
| 83655 | <1% | 12 | $142.68 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 14 | $124.04 |
| 96127 | <1% | 12 | $51.81 | |
| 85018 | <1% | 12 | $27.96 | |
| 99000 | <1% | 155 | $3.00 | |
| 36416 | 0% | 14 | $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 officialVANPELT, JENNIFER (FRONT OFFICE COORDINATOR)