Arlington Pediatric Center, INC.

Arlington Pediatric Center, INC. was paid $5.33M by Medicaid between Jan 2018 and Jan 2024, across 76 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.

33Billing provider infoARLINGTON PEDIATRIC CENTER, INC.
ARLINGTON, VA 22204

33aNPI1982710281assigned 08/21/2006

33bProvider typePediatrics Physician

28Total paid$5.33M

24GClaims201,077

24DCodes billed76

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#27 of 817

Median peer was paid$29K

This provider vs. median182×

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	27,158	$757K
2019	40,750	$838K
2020	30,159	$793K
2021	31,145	$807K
2022	36,449	$1.02M
2023	32,787	$1.05M
2024incomplete	2,629	$69K

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	28%	25,650	24,119	$1.49M
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	13%	8,965	8,756	$682K
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	11%	7,270	6,855	$603K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	11%	7,917	7,601	$563K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	8.4%	5,893	5,765	$447K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	3.1%	2,002	1,940	$165K
90686		3.1%	13,839	13,685	$163K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.2%	3,319	3,052	$118K
90670		2.2%	5,110	4,968	$117K
92551		1.8%	10,276	10,015	$95K
90671		1.7%	1,003	968	$90K
96127		1.3%	12,028	11,662	$70K

64 more codes

90680		1.2%	4,050	$65K
90648		1.1%	5,556	$60K
90723		1.1%	3,776	$58K
90651		<1%	867	$49K
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	3,918	$47K
87428		<1%	1,216	$37K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	4,285	$35K
96161		<1%	17,869	$35K
90633		<1%	2,092	$27K
99177		<1%	5,706	$23K
90837	Psychotherapy session, about an hour	<1%	265	$22K
0072A		<1%	545	$21K
0071A		<1%	589	$21K
99173		<1%	8,945	$21K
90697		<1%	480	$19K
36415	Collection of venous blood by venipuncture	<1%	6,910	$18K
90834	Psychotherapy session, about 45 minutes	<1%	216	$16K
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	12,710	$16K
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	1,119	$13K
90734		<1%	289	$11K
99381		<1%	149	$11K
97802		<1%	111	$10K
97804		<1%	482	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	413	$6K
99000		<1%	1,847	$6K
90710		<1%	112	$6K
90716		<1%	242	$5K
99215	Doctor's office visit, returning patient (complex)	<1%	45	$5K
0004A		<1%	134	$5K
87807		<1%	426	$5K
97803		<1%	134	$4K
90461		<1%	6,988	$4K
90707		<1%	192	$3K
90620		<1%	57	$3K
90700		<1%	191	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	1,601	$2K
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	<1%	91	$2K
92558		<1%	290	$2K
86580		<1%	301	$2K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	35	$2K
90685		<1%	159	$2K
0002A		<1%	45	$2K
0001A		<1%	44	$2K
99441		<1%	91	$2K
90696		<1%	86	$2K
0154A		<1%	35	$1K
96160		<1%	1,044	$1K
94640	Pressurized or nonpressurized inhalation treatment for acute airway obstruction	<1%	68	$942.60
90715		<1%	48	$843.65
0173A		<1%	23	$840.00
0082A		<1%	18	$721.60
0054A		<1%	15	$592.08
90791	Psychiatric diagnostic evaluation	<1%	12	$506.97
99442		<1%	12	$439.89
H0049	Alcohol and/or drug screening	<1%	439	$359.45
90480		<1%	14	$234.77
G2012	Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion	<1%	12	$198.84
81003		<1%	97	$187.14
88720		<1%	47	$172.07
90472	Immunization administration, each additional vaccine (list separately)	<1%	37	$41.99
90785		<1%	14	$8.10
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	<1%	43	$4.46
G9920	Screening performed and negative	0%	131	$0.00
87081		0%	27	$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 officialSTERMER, SUSAN (ASSOCIATE VICE PRESIDENT/CONTROLLER)