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

Willoughby Beach Pediatrics P.A.

Willoughby Beach Pediatrics P.A. was paid $1.75M by Medicaid between Jan 2018 and Jan 2023, across 48 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 44% of everything it billed.

33Billing provider infoWILLOUGHBY BEACH PEDIATRICS P.A.
WINDSOR MILL, MD 21244
33aNPI1992794051assigned 10/20/2005
33bProvider typePediatrics Physician
28Total paid$1.75M
24GClaims40,875
24DCodes billed48
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Pediatrics Physician providers in Maryland

Rank by total paid#66 of 306
Median peer was paid$206K
This provider vs. median8.5×

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$25K$50K$75K2018201920202021202220232024
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
2018357$9K
2019327$8K
202013,847$539K
202116,130$702K
20229,813$477K
2023401$18K
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 44% 9,833 6,472 $772K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12% 1,986 1,440 $210K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 10% 1,524 1,079 $175K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 8.5% 1,405 1,082 $149K
Q3014 Telehealth originating site facility fee 4.3% 5,359 3,802 $76K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3.9% 714 615 $69K
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 3.0% 484 433 $53K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.4% 779 725 $43K
D1206 Topical application of fluoride varnish 1.9% 1,366 1,312 $33K
90686 1.5% 1,174 1,114 $26K
97803 1.4% 2,214 1,944 $24K
96127 1.3% 3,502 3,351 $23K
36 more codes
90670 <1% 460 $11K
99401 <1% 327 $10K
90651 <1% 275 $6K
90734 <1% 260 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 594 $5K
90647 <1% 227 $5K
0071A <1% 134 $5K
99173 <1% 1,792 $5K
2015F <1% 662 $4K
0072A <1% 110 $4K
90723 <1% 187 $4K
0002A <1% 107 $4K
90633 <1% 188 $4K
0001A <1% 86 $3K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented <1% 618 $3K
96160 <1% 956 $3K
90710 <1% 107 $2K
90620 <1% 93 $2K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 18 $2K
0003A <1% 56 $2K
94760 <1% 1,711 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 107 $1K
90715 <1% 61 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 19 $1K
0073A <1% 29 $1K
97802 <1% 42 $690.71
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 58 $673.09
96161 <1% 229 $631.22
90696 <1% 26 $605.28
90700 <1% 15 $349.20
94150 <1% 31 $201.80
99051 <1% 13 $107.04
99000 <1% 441 $61.47
91307 <1% 71 $40.48
36416 <1% 333 $31.50
91300 0% 92 $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 officialABDUR-RAHMAN, NAJLA (PRESIDENT)