NP / PA
South Sound Pediatrics PLLC
South Sound Pediatrics PLLC was paid $6.26M by Medicaid between Jan 2018 and Dec 2024, across 62 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 41% of everything it billed.
33Billing provider infoSOUTH SOUND PEDIATRICS PLLC
OLYMPIA, WA 98506
OLYMPIA, WA 98506
33aNPI1073684692assigned 11/13/2006
33bProvider typePediatric Nurse Practitioner
28Total paid$6.26M
24GClaims121,265
24DCodes billed62
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Nurse Practitioner providers in Washington
Rank by total paid#2 of 13
Median peer was paid$210K
This provider vs. median30×
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 | 15,424 | $820K | |
| 2019 | 15,590 | $836K | |
| 2020 | 13,986 | $669K | |
| 2021 | 12,999 | $722K | |
| 2022 | 16,465 | $988K | |
| 2023 | 19,798 | $993K | |
| 2024incomplete | 27,003 | $1.23M |
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 | 41% | 33,789 | 31,304 | $2.56M |
| 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 | 20% | 11,866 | 11,263 | $1.25M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 10% | 6,409 | 6,335 | $652K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 10% | 6,734 | 6,490 | $632K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 3,460 | 3,426 | $350K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.1% | 1,219 | 1,204 | $133K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 513 | 493 | $78K |
| 90686 | 1.0% | 4,949 | 4,889 | $64K | |
| 99499 | 1.0% | 2,402 | 2,375 | $64K | |
| 99429 | <1% | 2,401 | 2,367 | $63K | |
| 92552 | <1% | 2,154 | 2,125 | $46K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 1,441 | 1,425 | $38K |
50 more codes
| 90670 | <1% | 2,130 | $33K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 1,326 | $32K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,545 | $31K |
| 99188 | <1% | 2,228 | $27K | |
| 90680 | <1% | 1,167 | $19K | |
| 96160 | <1% | 5,670 | $18K | |
| 96127 | <1% | 3,456 | $17K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 611 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,558 | $15K |
| 90688 | <1% | 1,096 | $15K | |
| 90698 | <1% | 1,216 | $14K | |
| 90697 | <1% | 714 | $14K | |
| 99173 | <1% | 4,344 | $8K | |
| 90671 | <1% | 371 | $8K | |
| 90677 | <1% | 426 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 124 | $6K |
| 0071A | <1% | 134 | $5K | |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 250 | $5K |
| 90480 | <1% | 156 | $5K | |
| 90656 | <1% | 634 | $4K | |
| 90633 | <1% | 267 | $4K | |
| 90651 | <1% | 274 | $4K | |
| 0072A | <1% | 90 | $4K | |
| 96161 | <1% | 1,230 | $3K | |
| 90685 | <1% | 159 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 141 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 98 | $2K |
| 94760 | <1% | 1,924 | $1K | |
| 96380 | <1% | 71 | $1K | |
| 90744 | <1% | 127 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 59 | $981.47 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 4,629 | $972.22 |
| 90619 | <1% | 41 | $878.21 | |
| 86317 | <1% | 65 | $840.53 | |
| 90672 | <1% | 28 | $540.00 | |
| 0004A | <1% | 13 | $520.00 | |
| 0112A | <1% | 12 | $516.00 | |
| 99177 | <1% | 159 | $480.76 | |
| 90461 | <1% | 2,444 | $432.48 | |
| 90473 | <1% | 13 | $223.18 | |
| 99051 | <1% | 297 | $154.00 | |
| 91321 | <1% | 56 | $146.12 | |
| 90660 | <1% | 13 | $37.18 | |
| 99001 | <1% | 51 | $12.00 | |
| 99072 | 0% | 1,122 | $0.00 | |
| 91311 | 0% | 50 | $0.00 | |
| 91300 | 0% | 18 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 665 | $0.00 |
| 99000 | 0% | 577 | $0.00 | |
| 99070 | 0% | 79 | $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 officialHARVEY, BETH (MEDICAL DIRECTOR/PARTNER)