Physician
Milestone Pediatrics, PA
Milestone Pediatrics, PA was paid $1.50M by Medicaid between Jan 2020 and Aug 2021, across 29 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 29% of everything it billed.
33Billing provider infoMILESTONE PEDIATRICS, PA
GERMANTOWN, MD 20876
GERMANTOWN, MD 20876
33aNPI1962692830assigned 07/27/2007
33bProvider typePediatrics Physician
28Total paid$1.50M
24GClaims31,258
24DCodes billed29
24AFirst – last monthJan 2020 – Aug 2021
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#73 of 306
Median peer was paid$206K
This provider vs. median7.3×
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 | |
|---|---|---|---|
| 2020 | 19,609 | $950K | |
| 2021 | 11,649 | $551K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 29% | 4,062 | 3,706 | $436K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 5,699 | 5,334 | $423K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 1,648 | 1,624 | $173K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 8.2% | 1,177 | 1,160 | $123K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.9% | 1,022 | 1,012 | $119K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.7% | 716 | 701 | $71K |
| 90686 | 2.4% | 1,644 | 1,535 | $36K | |
| 99070 | 1.2% | 2,468 | 2,364 | $17K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.0% | 1,332 | 548 | $15K |
| E0700 | Safety equipment, device or accessory, any type | <1% | 1,656 | 1,577 | $13K |
| 90670 | <1% | 462 | 461 | $11K | |
| 90648 | <1% | 482 | 477 | $11K |
17 more codes
| 94760 | <1% | 4,355 | $9K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 565 | $7K |
| 99173 | <1% | 1,869 | $5K | |
| 90734 | <1% | 201 | $5K | |
| 90723 | <1% | 185 | $4K | |
| 90651 | <1% | 177 | $4K | |
| 96127 | <1% | 809 | $4K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 136 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 68 | $3K |
| 90707 | <1% | 79 | $2K | |
| 90716 | <1% | 79 | $2K | |
| 87807 | <1% | 137 | $2K | |
| 90633 | <1% | 47 | $1K | |
| 90620 | <1% | 26 | $880.22 | |
| 99174 | <1% | 118 | $748.92 | |
| 90715 | <1% | 27 | $616.06 | |
| 90681 | <1% | 12 | $279.36 |
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 officialBRECHER, GARY (OWNER)