Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SARTELL PEDIATRICS, P.A.

NPI: 1215203898 · SARTELL, MN 56377 · Pediatrics Physician · NPI assigned 03/28/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, DAVID controls 20+ related entities in our dataset. Read more

$2.41M
Total Medicaid Paid
80,126
Total Claims
67,109
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSMITH, DAVID (OWNER)
NPI Enumeration Date03/28/2012

Related Entities

Other providers sharing the same authorized official: SMITH, DAVID

ProviderCityStateTotal Paid
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC PHOENIX AZ $7.56M
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC PINOLE CA $2.31M
PENINSULA PATHOLOGY ASSOCIATES INCORPORATED NEWPORT NEWS VA $2.29M
UNITED IMAGING CONSULTANTS, LLC LENEXA KS $1.86M
SAN MARCOS-HAYS COUNTY EMERGENCY MEDICAL SERVICES INCORPORATED SAN MARCOS TX $1.45M
HAYWOOD COUNTY BROWNSVILLE TN $1.27M
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC CASA GRANDE AZ $898K
BAY HEMATOLOGY ONCOLOGY PA EASTON MD $817K
PINNACLE MEDICAL CLINIC INC SUMMIT MS $809K
NORTH SHORE PEDIATRICS, PC DANVERS MA $546K
NEW MEXICO PHYSICAL THERAPISTS INC LOS LUNAS NM $520K
GREAT LAKES PEDIATRIC SURGEONS, INC. FORT WAYNE IN $458K
EL FUTURO, INC DURHAM NC $414K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $408K
DAVID J. SMITH MD PC GRAND LEDGE MI $401K
VIBRANTCARE OUTPATIENT REHABILITATION OF CALIFORNIA INC FAIRFIELD CA $324K
VIBRANTCARE OUTPATIENT REHABILITATION WEST INC TUCSON AZ $307K
GATEWAY FOOT AND ANKLE CENTER, PLC CLARKSVILLE TN $271K
ADVANCED CARDIOVASCULAR CONSULTANTS INC CHARDON OH $240K
NEW MEXICO PHYSICAL THERAPISTS INC ALBUQUERQUE NM $162K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,439 $45K
2019 6,160 $171K
2020 9,161 $240K
2021 19,192 $503K
2022 14,150 $468K
2023 14,532 $503K
2024 12,492 $479K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,233 5,830 $474K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,773 8,184 $446K
97530 Therapeutic activities, direct patient contact, each 15 minutes 4,779 1,347 $176K
87631 1,271 1,176 $170K
97533 1,978 576 $147K
90460 Immunization administration through 18 years of age via any route, first or only component 4,634 4,419 $134K
90834 Psychotherapy, 45 minutes with patient 2,245 1,436 $130K
X5622 1,568 1,483 $100K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 2,257 755 $96K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,276 1,244 $90K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 804 795 $54K
90837 Psychotherapy, 53 minutes with patient 623 456 $47K
96127 9,533 7,433 $30K
87428 457 354 $27K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 410 389 $26K
92551 4,205 4,110 $25K
99177 5,678 5,574 $23K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,360 1,284 $23K
96110 Developmental screening, with scoring and documentation, per standardized instrument 3,655 3,545 $21K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 435 412 $21K
99188 2,653 2,586 $17K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 472 447 $17K
99215 Prolong outpt/office vis 108 101 $16K
99072 6,169 5,145 $14K
90792 Psychiatric diagnostic evaluation with medical services 72 59 $13K
99000 2,023 1,905 $13K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 328 324 $11K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 104 104 $9K
90847 Family psychotherapy with the patient present, 50 minutes 91 77 $6K
87632 19 19 $4K
0001A 122 121 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 252 250 $4K
0002A 98 97 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 80 59 $3K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 205 94 $2K
0071A 49 46 $2K
0072A 44 44 $2K
36415 Collection of venous blood by venipuncture 544 525 $2K
83655 67 65 $1K
90791 Psychiatric diagnostic evaluation 12 12 $1K
99383 13 13 $1K
96161 757 729 $944.08
90686 1,524 1,495 $771.44
85025 Blood count; complete (CBC), automated, and automated differential WBC count 84 82 $635.87
90785 77 55 $590.28
97535 Self-care/home management training, each 15 minutes 26 14 $526.39
90461 18 18 $455.28
36416 129 114 $436.11
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $343.24
90670 388 371 $245.72
96160 26 26 $42.34
85018 12 12 $28.92
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) 348 338 $0.00
90734 13 13 $0.00
91300 320 282 $0.00
90633 142 135 $0.00
90715 12 12 $0.00
90710 13 13 $0.00
90697 42 42 $0.00
91307 148 130 $0.00
90716 15 15 $0.00
90656 52 52 $0.00
90744 48 42 $0.00
90698 194 185 $0.00
90680 27 27 $0.00