Physician
Menchavez Pediatrics, LLC
Menchavez Pediatrics, LLC was paid $2.34M by Medicaid between Jan 2018 and Nov 2024, across 56 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoMENCHAVEZ PEDIATRICS, LLC
CUMBERLAND, MD 21502
CUMBERLAND, MD 21502
33aNPI1992836167assigned 03/08/2007
33bProvider typePediatrics Physician
28Total paid$2.34M
24GClaims53,490
24DCodes billed56
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Maryland
Rank by total paid#51 of 306
Median peer was paid$206K
This provider vs. median11×
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 | 2,743 | $89K | |
| 2019 | 1,248 | $36K | |
| 2020 | 13,014 | $525K | |
| 2021 | 14,479 | $726K | |
| 2022 | 14,512 | $661K | |
| 2023 | 5,943 | $249K | |
| 2024incomplete | 1,551 | $51K |
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 | 36% | 11,580 | 10,514 | $843K |
| 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% | 5,035 | 4,614 | $523K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.9% | 1,976 | 1,915 | $186K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 6.5% | 1,600 | 1,550 | $151K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 1,031 | 978 | $90K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 3.8% | 292 | 44 | $88K |
| D1206 | Topical application of fluoride varnish | 3.7% | 3,586 | 3,448 | $87K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.8% | 622 | 606 | $65K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.6% | 2,468 | 2,309 | $37K |
| 96127 | 1.4% | 6,791 | 6,377 | $33K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 1.1% | 1,025 | 932 | $25K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.0% | 889 | 861 | $24K |
44 more codes
| 90686 | <1% | 1,221 | $23K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,647 | $21K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,335 | $15K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 287 | $13K |
| 87428 | <1% | 454 | $13K | |
| 92551 | <1% | 1,120 | $11K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 443 | $10K |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 37 | $10K |
| 90648 | <1% | 580 | $10K | |
| 90670 | <1% | 541 | $10K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 478 | $9K |
| 99381 | <1% | 58 | $6K | |
| 99177 | <1% | 977 | $5K | |
| 90723 | <1% | 276 | $4K | |
| 87807 | <1% | 360 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 893 | $4K |
| 90680 | <1% | 232 | $3K | |
| 99188 | <1% | 150 | $3K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 21 | $2K |
| W7000 | <1% | 253 | $1K | |
| 96161 | <1% | 479 | $1K | |
| 90633 | <1% | 61 | $1K | |
| 83655 | <1% | 109 | $969.92 | |
| 99173 | <1% | 514 | $908.63 | |
| 90707 | <1% | 60 | $907.92 | |
| 90671 | <1% | 44 | $771.84 | |
| 90716 | <1% | 49 | $768.24 | |
| 3008F | <1% | 569 | $652.50 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 19 | $528.80 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 36 | $491.49 |
| 96160 | <1% | 1,622 | $391.99 | |
| 85018 | <1% | 185 | $363.64 | |
| 90688 | <1% | 42 | $296.12 | |
| 90651 | <1% | 16 | $279.43 | |
| 90700 | <1% | 13 | $279.36 | |
| 90620 | <1% | 13 | $239.86 | |
| 90734 | <1% | 14 | $232.80 | |
| 83718 | <1% | 13 | $101.68 | |
| 82465 | <1% | 13 | $54.01 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 87 | $52.46 |
| 36416 | <1% | 1,233 | $44.03 | |
| 81000 | <1% | 14 | $41.22 | |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 14 | $11.00 |
| 90656 | 0% | 13 | $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 officialMENCHAVEZ, CELESTINO (OWNER)