Physician
Shoreview Pediatrics, S.C.
Shoreview Pediatrics, S.C. was paid $510K by Medicaid between Jan 2018 and Nov 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoSHOREVIEW PEDIATRICS, S.C.
MILWAUKEE, WI 53211
MILWAUKEE, WI 53211
33aNPI1144433236assigned 05/07/2007
33bProvider typePediatrics Physician
28Total paid$510K
24GClaims25,193
24DCodes billed35
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatrics Physician providers in Wisconsin
Rank by total paid#22 of 200
Median peer was paid$4K
This provider vs. median117×
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 | 4,445 | $97K | |
| 2019 | 4,257 | $81K | |
| 2020 | 3,215 | $46K | |
| 2021 | 4,134 | $72K | |
| 2022 | 3,519 | $64K | |
| 2023 | 3,738 | $76K | |
| 2024incomplete | 1,885 | $74K |
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% | 4,650 | 4,120 | $240K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 3,692 | 3,338 | $135K |
| 92551 | 4.8% | 1,913 | 1,814 | $24K | |
| 3008F | 4.7% | 2,578 | 2,464 | $24K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.7% | 323 | 308 | $19K |
| 99173 | 3.3% | 934 | 884 | $17K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.0% | 188 | 175 | $10K |
| 90686 | 2.0% | 2,055 | 1,949 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.3% | 117 | 113 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.2% | 106 | 96 | $6K |
| 81002 | 1.1% | 1,772 | 1,650 | $6K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 54 | 53 | $2K |
23 more codes
| 99000 | <1% | 528 | $2K | |
| 85018 | <1% | 733 | $2K | |
| 36416 | <1% | 691 | $2K | |
| 90656 | <1% | 82 | $1K | |
| 0071A | <1% | 14 | $514.40 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 34 | $497.74 |
| 96127 | <1% | 125 | $465.13 | |
| 83655 | <1% | 25 | $318.29 | |
| G0312 | Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) | <1% | 29 | $231.36 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $199.82 |
| 80061 | Lipid panel | <1% | 19 | $199.69 |
| 90670 | <1% | 28 | $99.72 | |
| 90648 | <1% | 29 | $97.96 | |
| G0315 | Immunization counseling by a physician or other qualified health care professional for covid-19, ages under 21, 5-15 mins time (this code is used for the medicaid early and periodic screening, diagnostic, and treatment benefit (epsdt) | <1% | 20 | $82.84 |
| 90688 | <1% | 14 | $47.94 | |
| 96161 | <1% | 15 | $45.95 | |
| 90685 | <1% | 13 | $40.69 | |
| 91307 | <1% | 120 | $0.01 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 1,409 | $0.00 |
| 99072 | 0% | 279 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 177 | $0.00 |
| 90461 | 0% | 12 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 2,401 | $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 officialONINSKI, GAIL (OFFICE MANAGER)