SARTELL PEDIATRICS, P.A.
NPI: 1215203898
· SARTELL, MN 56377
· 208000000X
$2.41M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
6,233 |
5,830 |
$474K |
| 99213 |
|
8,773 |
8,184 |
$446K |
| 97530 |
|
4,779 |
1,347 |
$176K |
| 87631 |
|
1,271 |
1,176 |
$170K |
| 97533 |
|
1,978 |
576 |
$147K |
| 90460 |
|
4,634 |
4,419 |
$134K |
| 90834 |
|
2,245 |
1,436 |
$130K |
| X5622 |
|
1,568 |
1,483 |
$100K |
| 92507 |
|
2,257 |
755 |
$96K |
| 99392 |
|
1,276 |
1,244 |
$90K |
| 99393 |
|
804 |
795 |
$54K |
| 90837 |
|
623 |
456 |
$47K |
| 96127 |
|
9,533 |
7,433 |
$30K |
| 87428 |
|
457 |
354 |
$27K |
| 99391 |
|
410 |
389 |
$26K |
| 92551 |
|
4,205 |
4,110 |
$25K |
| 99177 |
|
5,678 |
5,574 |
$23K |
| 99211 |
|
1,360 |
1,284 |
$23K |
| 96110 |
|
3,655 |
3,545 |
$21K |
| U0002 |
Covid-19 lab test non-cdc |
435 |
412 |
$21K |
| 99188 |
|
2,653 |
2,586 |
$17K |
| 87426 |
|
472 |
447 |
$17K |
| 99215 |
Prolong outpt/office vis |
108 |
101 |
$16K |
| 99072 |
|
6,169 |
5,145 |
$14K |
| 90792 |
|
72 |
59 |
$13K |
| 99000 |
|
2,023 |
1,905 |
$13K |
| 87651 |
|
328 |
324 |
$11K |
| 99394 |
|
104 |
104 |
$9K |
| 90847 |
|
91 |
77 |
$6K |
| 87632 |
|
19 |
19 |
$4K |
| 0001A |
|
122 |
121 |
$4K |
| 90471 |
|
252 |
250 |
$4K |
| 0002A |
|
98 |
97 |
$3K |
| 87635 |
|
80 |
59 |
$3K |
| 87804 |
|
205 |
94 |
$2K |
| 0071A |
|
49 |
46 |
$2K |
| 0072A |
|
44 |
44 |
$2K |
| 36415 |
|
544 |
525 |
$2K |
| 83655 |
|
67 |
65 |
$1K |
| 90791 |
|
12 |
12 |
$1K |
| 99383 |
|
13 |
13 |
$1K |
| 96161 |
|
757 |
729 |
$944.08 |
| 90686 |
|
1,524 |
1,495 |
$771.44 |
| 85025 |
|
84 |
82 |
$635.87 |
| 90785 |
|
77 |
55 |
$590.28 |
| 97535 |
|
26 |
14 |
$526.39 |
| 90461 |
|
18 |
18 |
$455.28 |
| 36416 |
|
129 |
114 |
$436.11 |
| 99212 |
|
12 |
12 |
$343.24 |
| 90670 |
|
388 |
371 |
$245.72 |
| 96160 |
|
26 |
26 |
$42.34 |
| 85018 |
|
12 |
12 |
$28.92 |
| G2211 |
Complex e/m visit add on |
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 |