Physician
Penguin Pediatrics
Penguin Pediatrics was paid $341K by Medicaid between Jan 2018 and Nov 2024, across 31 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 40% of everything it billed.
33Billing provider infoPENGUIN PEDIATRICS
ASHBURN, VA 20147
ASHBURN, VA 20147
33aNPI1982830873assigned 06/05/2009
33bProvider typePediatrics Physician
28Total paid$341K
24GClaims14,534
24DCodes billed31
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Virginia
Rank by total paid#162 of 817
Median peer was paid$29K
This provider vs. median12×
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 | 798 | $21K | |
| 2019 | 1,671 | $30K | |
| 2020 | 2,014 | $38K | |
| 2021 | 3,519 | $53K | |
| 2022 | 3,101 | $80K | |
| 2023 | 2,238 | $77K | |
| 2024incomplete | 1,193 | $41K |
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 | 40% | 2,384 | 2,095 | $136K |
| 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 | 22% | 905 | 799 | $76K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 453 | 444 | $34K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.9% | 421 | 351 | $27K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.6% | 208 | 206 | $16K |
| 90686 | 2.6% | 778 | 760 | $9K | |
| 92551 | 2.4% | 869 | 849 | $8K | |
| 90670 | 2.2% | 195 | 191 | $7K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.2% | 3,445 | 2,457 | $4K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 205 | 127 | $4K |
| 0072A | <1% | 59 | 51 | $2K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 26 | 14 | $2K |
19 more codes
| 90648 | <1% | 169 | $2K | |
| 0071A | <1% | 46 | $2K | |
| 81002 | <1% | 649 | $2K | |
| 99173 | <1% | 687 | $2K | |
| 90461 | <1% | 886 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 85 | $1K |
| 96127 | <1% | 235 | $1K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 12 | $1K |
| 99000 | <1% | 210 | $634.64 | |
| 90723 | <1% | 25 | $580.16 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 63 | $489.31 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $455.55 |
| 90707 | <1% | 12 | $360.93 | |
| 90716 | <1% | 14 | $274.47 | |
| 90656 | <1% | 14 | $176.70 | |
| 87807 | <1% | 15 | $117.90 | |
| 99072 | <1% | 1,289 | $110.56 | |
| 91307 | <1% | 130 | $0.95 | |
| 99051 | 0% | 16 | $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 officialKODU, UMESH (PRESIDENT)