Physician
South Whidbey Pediatrics
South Whidbey Pediatrics was paid $84K by Medicaid between Jan 2018 and Mar 2019, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoSOUTH WHIDBEY PEDIATRICS
FREELAND, WA 98249
FREELAND, WA 98249
33aNPI1194045708assigned 06/04/2010
33bProvider typePediatrics Physician
28Total paid$84K
24GClaims1,507
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2019
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#52 of 110
Median peer was paid$57K
This provider vs. median1.5×
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 | 1,277 | $70K | |
| 2019 | 230 | $14K |
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 | 45% | 660 | 612 | $38K |
| 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 | 30% | 300 | 292 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.4% | 71 | 70 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 5.6% | 53 | 53 | $5K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 4.8% | 41 | 40 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.6% | 37 | 37 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 33 | 32 | $1K |
| 90686 | 1.1% | 60 | 58 | $938.17 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | 14 | $179.80 |
| 85014 | <1% | 59 | 56 | $143.39 | |
| 99173 | <1% | 110 | 109 | $133.46 | |
| 90688 | <1% | 19 | 19 | $113.24 |
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 officialWAGNER, SUSAN (OFFICE MANAGER)