Clinic
Tender Heart Pediatrics
Tender Heart Pediatrics was paid $364K by Medicaid between Jan 2018 and Oct 2019, across 35 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoTENDER HEART PEDIATRICS
ALEXANDRIA, VA 22306
ALEXANDRIA, VA 22306
33aNPI1972773430assigned 03/11/2008
33bProvider typePrimary Care Clinic/Center
28Total paid$364K
24GClaims12,482
24DCodes billed35
24AFirst – last monthJan 2018 – Oct 2019
Compared with peers
Next to other Primary Care Clinic/Center providers in Virginia
Rank by total paid#24 of 80
Median peer was paid$108K
This provider vs. median3.4×
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 | 7,328 | $222K | |
| 2019 | 5,154 | $142K |
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 | 39% | 2,932 | 2,374 | $142K |
| 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 | 20% | 1,013 | 810 | $72K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 8.1% | 453 | 397 | $30K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.2% | 423 | 367 | $26K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.8% | 308 | 252 | $17K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 4.0% | 1,185 | 1,040 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 3.3% | 176 | 154 | $12K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 2.8% | 486 | 418 | $10K |
| 92551 | 2.4% | 1,037 | 903 | $9K | |
| 90651 | 1.3% | 152 | 138 | $5K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | 1.1% | 275 | 207 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 62 | 50 | $4K |
23 more codes
| 90670 | <1% | 279 | $4K | |
| 99173 | <1% | 1,028 | $2K | |
| 90734 | <1% | 86 | $2K | |
| 90658 | <1% | 151 | $1K | |
| 99383 | <1% | 12 | $1K | |
| 90680 | <1% | 106 | $1K | |
| 90707 | <1% | 70 | $886.73 | |
| 90686 | <1% | 81 | $820.62 | |
| 99381 | <1% | 19 | $811.04 | |
| 90633 | <1% | 60 | $684.17 | |
| 90716 | <1% | 56 | $668.05 | |
| 90715 | <1% | 47 | $642.89 | |
| 90700 | <1% | 43 | $403.82 | |
| 90698 | <1% | 49 | $394.85 | |
| 90647 | <1% | 37 | $329.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 602 | $312.60 |
| 86580 | <1% | 35 | $203.00 | |
| 94664 | <1% | 12 | $179.45 | |
| 90713 | <1% | 21 | $163.82 | |
| 90461 | <1% | 400 | $140.70 | |
| 90744 | <1% | 15 | $134.20 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 628 | $128.10 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 143 | $68.00 |
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 officialARAYA, ASTER (DIRECTOR)