Physician
Children's Respiratory & Critical Care Specialists. P.A.
Children's Respiratory & Critical Care Specialists. P.A. was paid $7.53M by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 54% of everything it billed.
33Billing provider infoCHILDREN'S RESPIRATORY & CRITICAL CARE SPECIALISTS. P.A.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
33aNPI1003816505assigned 07/26/2005
33bProvider typePediatrics Physician
28Total paid$7.53M
24GClaims115,138
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Minnesota
Rank by total paid#3 of 33
Median peer was paid$13K
This provider vs. median572×
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 | 18,236 | $763K | |
| 2019 | 16,993 | $1.19M | |
| 2020 | 15,068 | $1.11M | |
| 2021 | 17,552 | $1.27M | |
| 2022 | 16,976 | $1.13M | |
| 2023 | 15,112 | $1.00M | |
| 2024incomplete | 15,201 | $1.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 54% | 61,404 | 13,678 | $4.08M |
| 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 | 19% | 21,908 | 20,873 | $1.45M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 8.8% | 4,693 | 1,432 | $666K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.9% | 4,520 | 4,297 | $441K |
| 94060 | 2.9% | 8,989 | 8,687 | $220K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | 2.6% | 788 | 175 | $194K |
| 99254 | 1.9% | 1,315 | 1,294 | $140K | |
| 99471 | <1% | 131 | 128 | $73K | |
| 94664 | <1% | 6,474 | 6,318 | $59K | |
| 94010 | <1% | 2,365 | 2,321 | $41K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 370 | 343 | $36K |
| 99205 | Prolong outpt/office vis | <1% | 242 | 233 | $32K |
12 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 374 | $31K |
| 99292 | <1% | 226 | $28K | |
| 99253 | <1% | 247 | $18K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 69 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 41 | $4K |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 86 | $4K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 251 | $3K |
| 95012 | <1% | 336 | $2K | |
| 99443 | <1% | 26 | $1K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 27 | $559.95 |
| 90686 | <1% | 198 | $87.54 | |
| 90658 | <1% | 58 | $34.50 |
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 officialFOLEY, MICHAEL (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Madison Emergency Physicians, SC | Madison, WI | $3.26M |
| Winning Smiles Pediatric Dentistry | Amherst, NY | $1.48M |
| The Healing Center | Edgewood, MD | $50K |
| Michael G Foley MD PA | Crestview, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.