Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maryland (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Children's Pediatricians & Associates, LLC (NPI 1396932687)

Field	Value
Entity Type	Organization
Organization	Children's Pediatricians & Associates, LLC
Address	12211 Plum Orchard Dr Ste 220
City	Silver Spring
State	MD
ZIP	20904
Taxonomy	Pediatrics Physician
NPI Enumerated	October 1, 2007
NPI Deactivated	February 3, 2025

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

91 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	48,780	$90	$4.4M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	66,250	$60	$4.2M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	25,490	$80	$2.1M
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	19,120	$80	$1.6M
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	20,010	$70	$1.5M
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	8,830	$90	$803.9K
99070	Then provider utilizes items or supplies materials to the patient in excess of what is normally utilized or provided during an encounter. These items might include medical supplies, medications,…	105,020	$1	$420.1K
92551	The provider delivers a limited series of tones or sounds to a patient to determine if the patient’s hearing is in an acceptable range to detect hearing problems.	37,520	$10	$337.7K
0241U	N/A	3,020	$110	$331.8K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	21,720	$10	$282.4K

Showing 1–10 of 91

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Maryland providers billing the same CPT/HCPCS codes.

Claims Volume vs. Maryland Distribution

Children's Pediatricians & Associates, LLC — 18 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

91 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	25	3,670	680	$90	$310K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	22	3,280	610	$80	$296.1K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	330	800	$110	$228.7K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	3	290	730	$100	$212.2K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	3	350	490	$110	$172.3K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	4	320	290	$120	$128K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	13	40	100	$30	$119.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	542	1,000	200	$120	$96.3K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	616	930	110	$100	$90.1K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	33	90	240	$10	$88.5K

Showing 1–10 of 91

Related Providers

Other providers that share a Tax Identification Number (TIN) with Children's Pediatricians & Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
Children's Hospital	NE	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.4M
Gayatri Reilly	MD	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Reginald Sanders	MD	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Children's Hospital	DC	Pediatric Dentistry	$0	$2.8M
Juanita Bryant	DC	Retina Specialist (Ophthalmology) Physician	$1.9M	$239.4K
Aziz Khanifar	MD	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Maral Skelsey	MD	Dermatology Physician	$1.1M	$0
David Parver	MD	Retina Specialist (Ophthalmology) Physician	$598.2K	$830

Nearby Providers

Other providers in the same ZIP code as Children's Pediatricians & Associates, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Radiology Associates Inc	MD	Diagnostic Radiology Physician	$0	$27.8M
Mission Autism Clinics LLC	MD	Behavior Analyst	$0	$21.6M
Dr. Camps Pediatric Dental Center	MD	Pediatric Dentistry	$0	$16.1M
Thrive Behavioral Health, LLC	MD	Community/Behavioral Health Agency	$0	$12.8M
White Oak Pediatrics Drs Battiata & Impeduglia PA	MD	Pediatrics Physician	$0	$12.3M
Jsk Care Group, LLC	MD	Adult Day Care Clinic/Center	$0	$11.8M
Rock Creek Foundation For Mental Health Inc	MD	Developmental Disabilities Clinic/Center	$0	$10.2M
Adventist Healthcare, Inc.	MD	General Acute Care Hospital	$0	$4.5M
Kashif Ali	MD	Hematology & Oncology Physician	$3.6M	$0
David Heydt	MD	Anatomic Pathology Physician	$1.1M	$0

Children's Pediatricians & Associates, LLC — Billing Profile & Reimbursement Data

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Children's Pediatricians & Associates, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References