Physician
PM Pediatrics of Virginia
PM Pediatrics of Virginia was paid $3.13M by Medicaid between Jun 2018 and Dec 2024, across 20 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 36% of everything it billed.
33Billing provider infoPM PEDIATRICS OF VIRGINIA
SPRINGFIELD, VA 22150
SPRINGFIELD, VA 22150
33aNPI1962902650assigned 02/19/2018
33bProvider typePediatrics Physician
28Total paid$3.13M
24GClaims54,550
24DCodes billed20
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#57 of 817
Median peer was paid$29K
This provider vs. median107×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LOPEZ, DANIELLE controls 17+ related entities in our dataset. Read more
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 | 93 | $5K | |
| 2019 | 1,677 | $83K | |
| 2020 | 5,705 | $252K | |
| 2021 | 8,971 | $414K | |
| 2022 | 10,748 | $663K | |
| 2023 | 15,796 | $987K | |
| 2024incomplete | 11,560 | $725K |
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 | 36% | 13,536 | 12,740 | $1.14M |
| 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% | 14,373 | 13,705 | $876K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 17% | 7,313 | 6,799 | $525K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 14% | 3,973 | 3,814 | $431K |
| S9083 | Global fee urgent care centers | 2.7% | 1,080 | 985 | $85K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 2.1% | 4,904 | 4,747 | $65K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 323 | 156 | $4K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52 | 52 | $2K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 56 | 51 | $2K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 146 | 121 | $1K |
| 99000 | <1% | 413 | 372 | $810.00 | |
| 87428 | <1% | 14 | 13 | $527.32 |
8 more codes
| J8540 | Dexamethasone, oral, 0.25 mg | <1% | 231 | $212.12 |
| 99051 | <1% | 6,859 | $179.64 | |
| 96127 | <1% | 13 | $59.76 | |
| 99072 | <1% | 776 | $45.99 | |
| 81003 | <1% | 14 | $29.25 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 32 | $2.41 |
| J7620 | Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme | <1% | 13 | $1.98 |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | <1% | 429 | $1.21 |
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 officialLOPEZ, DANIELLE (MANAGER CREDENTIALING/ENROLLMENT)
| Provider | Location | Paid |
|---|---|---|
| PM Pediatrics of Bayside, PLLC | Bayside, NY | $43.78M |
| Night Lite Pediatric Center, LLC | Orlando, FL | $38.83M |
| PM Pediatrics of Maryland | Greenbelt, MD | $33.50M |
| PM Pediatrics of Selden | Selden, NY | $31.91M |
| PM Pediatrics of Connecticut | West Hartford, CT | $6.32M |
| PM Pediatrics of Pennsylvania | Wayne, PA | $5.42M |
| PM Pediatrics of Mamaroneck | Mamaroneck, NY | $3.85M |
| PM Pediatrics of Bayside PLLC | Spring Valley, NY | $2.45M |
| PM Pediatrics PC | Syosset, NY | $1.83M |
| PM Pediatric Care - New York, P.C. | New Hyde Park, NY | $1.08M |
| PM Pediatrics of New England LLC | Dedham, NY | $1.02M |
| PM Pediatrics of California | Los Angeles, CA | $346K |
| PM Pediatrics of Florida | Coral Springs, FL | $253K |
| PM Pediatrics of Delaware PA | Newark, DE | $161K |
| PM Pediatrics of New England LLC | Woburn, MA | $145K |
| PM Pediatrics of New England LLC | Braintree, MA | $122K |
| PM Pediatrics of Selden | North Babylon, NY | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.