Physician
Heritage Pediatrics, INC.
Heritage Pediatrics, INC. was paid $388K by Medicaid between Jan 2020 and Aug 2024, across 27 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.
33Billing provider infoHERITAGE PEDIATRICS, INC.
LARGO, MD 20774
LARGO, MD 20774
33aNPI1972903201assigned 08/22/2014
33bProvider typePediatrics Physician
28Total paid$388K
24GClaims34,351
24DCodes billed27
24AFirst – last monthJan 2020 – Aug 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#127 of 306
Median peer was paid$206K
This provider vs. median1.9×
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 | 10,240 | $38K | |
| 2021 | 12,323 | $2K | |
| 2022 | 9,208 | $211K | |
| 2023 | 1,734 | $85K | |
| 2024incomplete | 846 | $52K |
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 | 44% | 7,702 | 3,885 | $170K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 17% | 2,623 | 1,591 | $66K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 16% | 2,897 | 1,619 | $62K |
| 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 | 5.8% | 991 | 566 | $23K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 3.7% | 7,075 | 4,134 | $15K |
| 90648 | 2.1% | 1,802 | 1,078 | $8K | |
| 90670 | 1.9% | 1,831 | 1,086 | $7K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.9% | 471 | 275 | $7K |
| 99460 | 1.2% | 193 | 112 | $5K | |
| 90685 | 1.2% | 1,035 | 628 | $5K | |
| 90723 | <1% | 1,255 | 731 | $4K | |
| 90686 | <1% | 894 | 559 | $3K |
15 more codes
| 90633 | <1% | 694 | $3K | |
| 92551 | <1% | 1,313 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 66 | $2K |
| 90710 | <1% | 346 | $1K | |
| 90680 | <1% | 883 | $1K | |
| 90681 | <1% | 101 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 331 | $722.70 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 20 | $702.54 |
| 99173 | <1% | 1,329 | $624.14 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 97 | $618.52 |
| 99462 | <1% | 18 | $379.89 | |
| 96127 | <1% | 203 | $230.79 | |
| 90700 | <1% | 89 | $186.24 | |
| 90651 | <1% | 18 | $93.12 | |
| 99072 | 0% | 74 | $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 officialFADITAN, BABAJIDE (PRESIDENT)