Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Sacoto Pediatrics PC

Sacoto Pediatrics PC was paid $1.38M by Medicaid between Oct 2018 and Dec 2024, across 50 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.

33Billing provider infoSACOTO PEDIATRICS PC
ARLINGTON, VA 22204
33aNPI1982841029assigned 01/12/2009
33bProvider typePediatrics Physician
28Total paid$1.38M
24GClaims45,365
24DCodes billed50
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Virginia

Rank by total paid#106 of 817
Median peer was paid$29K
This provider vs. median47×

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

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
2018201$3K
2019222$5K
2020683$7K
20211,120$22K
20221,048$28K
202316,737$480K
2024incomplete25,354$838K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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% 8,380 7,592 $536K
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 10.0% 1,501 1,419 $138K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8.2% 1,496 1,483 $113K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 8.1% 1,357 1,347 $112K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6.7% 1,235 1,202 $92K
92551 3.5% 4,817 4,713 $48K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.3% 632 557 $45K
90677 2.4% 418 394 $33K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.9% 675 614 $26K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 1.8% 1,873 1,812 $26K
90686 1.7% 1,941 1,890 $24K
90651 1.3% 344 338 $18K
38 more codes
90621 1.2% 409 $17K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.1% 1,662 $15K
90460 Immunization administration through 18 years of age via any route, first or only component <1% 3,515 $13K
90734 <1% 347 $13K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 123 $10K
99177 <1% 2,494 $10K
96127 <1% 1,802 $9K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 648 $9K
90680 <1% 354 $8K
90723 <1% 341 $7K
90661 <1% 535 $6K
99173 <1% 2,215 $5K
90633 <1% 342 $5K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 137 $5K
90647 <1% 355 $5K
90670 <1% 134 $5K
87428 <1% 135 $4K
85018 <1% 1,512 $3K
90710 <1% 93 $3K
90461 <1% 1,140 $3K
87807 <1% 179 $2K
97802 <1% 79 $2K
90715 <1% 117 $2K
90716 <1% 70 $2K
90696 <1% 91 $1K
85014 <1% 573 $1K
83655 <1% 113 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 559 $1K
99188 <1% 54 $1K
90700 <1% 73 $860.72
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 99 $655.64
90707 <1% 42 $618.99
91318 <1% 14 $562.42
81002 <1% 163 $477.61
90480 <1% 21 $400.00
86580 <1% 15 $128.55
90472 Immunization administration, each additional vaccine (list separately) <1% 42 $11.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 99 $5.00

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 officialSACOTO, MARIA (OWNER)