Richmond Pediatric Clinic INC. P.S.

Richmond Pediatric Clinic INC. P.S. was paid $2.04M by Medicaid between Jan 2018 and Mar 2024, across 34 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoRICHMOND PEDIATRIC CLINIC INC. P.S.
SHORELINE, WA 98177

33aNPI1114962446assigned 06/19/2006

33bProvider typePediatrics Physician

28Total paid$2.04M

24GClaims50,569

24DCodes billed34

24AFirst – last monthJan 2018 – Mar 2024

Compared with peers

Next to other Pediatrics Physician providers in Washington

Rank by total paid#16 of 110

Median peer was paid$57K

This provider vs. median36×

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	10,648	$371K
2019	11,082	$387K
2020	7,124	$247K
2021	6,735	$278K
2022	7,146	$341K
2023	6,607	$333K
2024incomplete	1,227	$86K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	47%	10,112	9,406	$955K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	33%	10,337	9,882	$682K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	3.3%	530	475	$67K
99392	Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years)	2.9%	652	642	$59K
99393	Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years)	2.6%	595	590	$54K
99499		2.0%	1,874	1,843	$41K
99429		1.9%	1,874	1,844	$39K
90686		1.4%	1,776	1,761	$28K
99391	Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year)	<1%	235	214	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	<1%	1,513	1,490	$17K
D9999	Unspecified adjunctive procedure, by report	<1%	1,528	1,505	$16K
90688		<1%	1,139	1,131	$14K

22 more codes

87637	Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV	<1%	92	$12K
96127		<1%	2,995	$9K
99394	Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years)	<1%	70	$7K
96110	Developmental screening, with scoring and documentation, per standardized instrument	<1%	2,931	$7K
99173		<1%	3,070	$5K
92552		<1%	138	$3K
90480		<1%	40	$2K
D1208	Topical application of fluoride, excluding varnish	<1%	72	$1K
90670		<1%	68	$835.52
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	720	$635.00
90460	Immunization administration through 18 years of age via any route, first or only component	<1%	6,220	$484.89
36416		<1%	225	$452.64
99188		<1%	47	$438.52
94760		<1%	436	$363.11
90698		<1%	25	$310.14
90744		<1%	12	$237.54
90461		<1%	1,100	$184.32
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	13	$165.20
99177		<1%	76	$153.94
83718		<1%	13	$109.77
96161		<1%	27	$71.44
82465		<1%	14	$62.82

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 officialERNST, JEFFREY (SECTY/TREAS)