Physician
Mikids Pediatrics, PC
Mikids Pediatrics, PC was paid $1.32M by Medicaid between Mar 2018 and Dec 2024, across 53 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoMIKIDS PEDIATRICS, PC
CALEDONIA, MI 49316
CALEDONIA, MI 49316
33aNPI1043722176assigned 10/30/2017
33bProvider typePediatrics Physician
28Total paid$1.32M
24GClaims35,521
24DCodes billed53
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#102 of 349
Median peer was paid$321K
This provider vs. median4.1×
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 | 4,995 | $129K | |
| 2019 | 5,746 | $168K | |
| 2020 | 4,955 | $150K | |
| 2021 | 5,308 | $193K | |
| 2022 | 5,271 | $222K | |
| 2023 | 5,336 | $261K | |
| 2024incomplete | 3,910 | $197K |
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 | 34% | 8,329 | 7,656 | $455K |
| 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 | 15% | 2,305 | 2,206 | $195K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 14% | 2,306 | 2,302 | $180K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 9.9% | 1,730 | 1,721 | $131K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 8.7% | 1,349 | 1,346 | $115K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.0% | 1,449 | 1,370 | $93K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 3.5% | 4,602 | 4,538 | $46K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 2.9% | 2,161 | 2,148 | $39K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.1% | 1,167 | 1,127 | $14K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 209 | 194 | $10K |
| G9007 | Coordinated care fee, scheduled team conference | <1% | 331 | 298 | $6K |
| 87428 | <1% | 170 | 167 | $6K |
41 more codes
| 98966 | <1% | 606 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 62 | $4K |
| 99383 | <1% | 39 | $3K | |
| 90473 | <1% | 264 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 147 | $2K |
| 0071A | <1% | 57 | $2K | |
| 0072A | <1% | 53 | $2K | |
| 99381 | <1% | 35 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 237 | $2K |
| 99382 | <1% | 25 | $2K | |
| 99384 | <1% | 14 | $1K | |
| 96161 | <1% | 423 | $934.30 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 385 | $456.36 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 49 | $453.76 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 12 | $404.40 |
| 85018 | <1% | 211 | $396.88 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | $387.27 |
| 98967 | <1% | 23 | $375.48 | |
| 90686 | <1% | 1,274 | $146.72 | |
| 36416 | <1% | 208 | $98.76 | |
| 90672 | <1% | 107 | $80.82 | |
| 81003 | <1% | 12 | $27.66 | |
| 90670 | 0% | 872 | $0.00 | |
| 90685 | 0% | 98 | $0.00 | |
| 90734 | 0% | 145 | $0.00 | |
| 2014F | 0% | 375 | $0.00 | |
| 90633 | 0% | 171 | $0.00 | |
| G9920 | Screening performed and negative | 0% | 49 | $0.00 |
| 90461 | 0% | 223 | $0.00 | |
| 90715 | 0% | 14 | $0.00 | |
| 90651 | 0% | 114 | $0.00 | |
| 90698 | 0% | 993 | $0.00 | |
| 90680 | 0% | 454 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,203 | $0.00 |
| 90656 | 0% | 116 | $0.00 | |
| 90744 | 0% | 82 | $0.00 | |
| 91307 | 0% | 130 | $0.00 | |
| 90688 | 0% | 41 | $0.00 | |
| 90660 | 0% | 15 | $0.00 | |
| 90677 | 0% | 45 | $0.00 | |
| 90619 | 0% | 17 | $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 officialGARBACIK, NICOLE (CREDENTIALING SPECIALIST)